Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $4,392.00 / $10,296.00	Facility		$1,821.00	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,762.29 / $2,610.10 / $5,153.38	Professional		$1,762.29	$2,610.10	$5,153.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,268.00 / $12,869.00	Facility		$4,100.00	$7,268.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,777.11 / $2,323.02 / $5,373.41	Professional		$1,777.11	$2,323.02	$5,373.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,097.97 / $3,097.97 / $37,499.62	Facility		$3,097.97	$3,097.97	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,097.97 / $3,097.97 / $3,097.97	Professional		$3,097.97	$3,097.97	$3,097.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,439.61 / $2,439.61 / $7,227.90	Facility		$2,439.61	$2,439.61	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,651.79 / $3,742.28 / $7,929.97	Professional		$1,651.79	$3,742.28	$7,929.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,822.50 / $5,620.73	Facility		$319.00	$1,822.50	$5,620.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,498.10 / $2,929.97 / $4,384.85	Professional		$2,498.10	$2,929.97	$4,384.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,769.41 / $2,350.91 / $3,990.65	Professional		$1,769.41	$2,350.91	$3,990.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,439.61 / $7,227.90	Facility		$555.00	$2,439.61	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,825.50 / $3,742.28 / $7,929.97	Professional		$1,825.50	$3,742.28	$7,929.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,853.34 / $2,819.19 / $7,335.06	Professional		$1,853.34	$2,819.19	$7,335.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,350.91 / $2,350.91 / $4,690.83	Facility		$2,350.91	$2,350.91	$4,690.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,769.41 / $2,701.94 / $4,690.83	Professional		$1,769.41	$2,701.94	$4,690.83