Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,157.00 / $11,396.00	Facility		$1,819.00	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,419.51 / $1,642.30 / $2,995.51	Professional		$1,419.51	$1,642.30	$2,995.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,310.27 / $1,712.78 / $3,952.65	Professional		$1,310.27	$1,712.78	$3,952.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,231.42 / $2,231.42 / $37,499.62	Facility		$2,231.42	$2,231.42	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,231.42 / $2,231.42 / $2,231.42	Professional		$2,231.42	$2,231.42	$2,231.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,790.02 / $1,790.02 / $1,790.02	Facility		$1,790.02	$1,790.02	$1,790.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,565.53 / $2,383.73 / $5,969.88	Professional		$1,565.53	$2,383.73	$5,969.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,692.46 / $4,200.62	Facility		$332.00	$1,692.46	$4,200.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,717.94 / $2,437.51 / $3,603.19	Professional		$1,717.94	$2,437.51	$3,603.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,475.26 / $1,475.26 / $1,475.26	Facility		$1,475.26	$1,475.26	$1,475.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,232.13 / $1,882.35 / $3,320.52	Professional		$1,232.13	$1,882.35	$3,320.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,790.02	Facility		$555.00	$597.00	$1,790.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,622.09 / $2,383.73 / $5,478.76	Professional		$1,622.09	$2,383.73	$5,478.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,407.42 / $2,055.37 / $5,200.60	Professional		$1,407.42	$2,055.37	$5,200.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,882.35 / $1,882.35 / $6,045.27	Facility		$1,882.35	$1,882.35	$6,045.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,232.13 / $2,055.92 / $3,978.99	Professional		$1,232.13	$2,055.92	$3,978.99