Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,629.00 / $10,686.00	Facility		$1,819.00	$4,629.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.38 / $1,610.14 / $3,082.98	Professional		$1,402.38	$1,610.14	$3,082.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,279.00 / $11,909.00	Facility		$3,283.00	$5,279.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,277.82 / $1,670.36 / $3,836.66	Professional		$1,277.82	$1,670.36	$3,836.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,176.41 / $2,176.41 / $37,499.62	Facility		$2,176.41	$2,176.41	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,176.41 / $2,176.41 / $2,176.41	Professional		$2,176.41	$2,176.41	$2,176.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $1,747.00 / $1,747.00	Facility		$1,747.00	$1,747.00	$1,747.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,531.06 / $2,349.05 / $5,821.81	Professional		$1,531.06	$2,349.05	$5,821.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,342.50 / $4,104.56	Facility		$332.00	$1,342.50	$4,104.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,678.79 / $2,381.94 / $3,520.80	Professional		$1,678.79	$2,381.94	$3,520.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,441.64 / $1,441.64 / $1,441.64	Facility		$1,441.64	$1,441.64	$1,441.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.33 / $1,838.72 / $3,243.54	Professional		$1,250.33	$1,838.72	$3,243.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,747.00	Facility		$555.00	$597.00	$1,747.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,607.39 / $2,348.71 / $5,433.71	Professional		$1,607.39	$2,348.71	$5,433.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,395.98 / $1,953.77 / $4,887.01	Professional		$1,395.98	$1,953.77	$4,887.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,838.72 / $1,838.72 / $6,902.83	Facility		$1,838.72	$1,838.72	$6,902.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,310.09 / $2,009.07 / $3,886.75	Professional		$1,310.09	$2,009.07	$3,886.75