Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,574.00 / $10,296.00	Facility		$1,819.00	$4,574.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.69 / $1,737.74 / $4,289.45	Professional		$1,500.69	$1,737.74	$4,289.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,114.80 / $1,457.26 / $3,837.58	Professional		$1,114.80	$1,457.26	$3,837.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $13,477.50	Facility		$2,353.44	$2,353.44	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $2,353.44	Professional		$2,353.44	$2,353.44	$2,353.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,889.38 / $1,889.38 / $1,889.38	Facility		$1,889.38	$1,889.38	$1,889.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,656.39 / $2,535.26 / $6,467.45	Professional		$1,656.39	$2,535.26	$6,467.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,455.00 / $5,032.75	Facility		$332.00	$2,455.00	$5,032.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,814.70 / $2,574.94 / $3,806.10	Professional		$1,814.70	$2,574.94	$3,806.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,558.35 / $1,558.35 / $1,558.35	Facility		$1,558.35	$1,558.35	$1,558.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,352.29 / $1,988.67 / $3,508.06	Professional		$1,352.29	$1,988.67	$3,508.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,889.38	Facility		$555.00	$597.00	$1,889.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,712.45 / $2,515.44 / $5,870.59	Professional		$1,712.45	$2,515.44	$5,870.59
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 $1,488.75 / $2,098.10 / $5,379.55	Professional		$1,488.75	$2,098.10	$5,379.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,988.67 / $1,988.67 / $5,137.41	Facility		$1,988.67	$1,988.67	$5,137.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,454.00 / $2,171.71 / $4,203.72	Professional		$1,454.00	$2,171.71	$4,203.72