Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $3,797.00 / $10,296.00	Facility		$1,817.98	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,460.36 / $1,688.58 / $3,077.96	Professional		$1,460.36	$1,688.58	$3,077.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,337.02 / $1,747.75 / $3,981.86	Professional		$1,337.02	$1,747.75	$3,981.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,292.01 / $2,292.01 / $37,499.62	Facility		$2,292.01	$2,292.01	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,292.01 / $2,292.01 / $2,292.01	Professional		$2,292.01	$2,292.01	$2,292.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,838.16 / $1,838.16 / $1,838.16	Facility		$1,838.16	$1,838.16	$1,838.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,610.77 / $2,451.55 / $6,135.30	Professional		$1,610.77	$2,451.55	$6,135.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,387.00 / $4,315.12	Facility		$332.00	$2,387.00	$4,315.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,764.41 / $2,503.94 / $3,701.41	Professional		$1,764.41	$2,503.94	$3,701.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,515.17 / $1,515.17 / $1,515.17	Facility		$1,515.17	$1,515.17	$1,515.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,315.18 / $1,932.10 / $3,411.78	Professional		$1,315.18	$1,932.10	$3,411.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,838.16	Facility		$555.00	$597.00	$1,838.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,667.08 / $2,451.55 / $5,705.21	Professional		$1,667.08	$2,451.55	$5,705.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $18,532.00	Facility		$2,673.00	$7,719.00	$18,532.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,447.33 / $2,090.58 / $5,007.29	Professional		$1,447.33	$2,090.58	$5,007.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,934.09 / $1,934.09 / $7,175.84	Facility		$1,934.09	$1,934.09	$7,175.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,481.27 / $2,011.45 / $4,088.36	Professional		$1,481.27	$2,011.45	$4,088.36