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 $1,867.77 / $2,452.37 / $5,269.61	Professional		$1,867.77	$2,452.37	$5,269.61
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 $1,671.31 / $2,184.73 / $5,046.22	Professional		$1,671.31	$2,184.73	$5,046.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,914.05 / $2,914.05 / $37,499.62	Facility		$2,914.05	$2,914.05	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,914.05 / $2,914.05 / $2,914.05	Professional		$2,914.05	$2,914.05	$2,914.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,284.13 / $2,284.13 / $7,227.90	Facility		$2,284.13	$2,284.13	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,553.57 / $3,539.14 / $7,451.76	Professional		$1,553.57	$3,539.14	$7,451.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,115.00 / $5,275.64	Facility		$319.00	$2,115.00	$5,275.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.73 / $2,747.26 / $4,111.41	Professional		$2,344.73	$2,747.26	$4,111.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,678.52 / $2,205.73 / $3,744.22	Professional		$1,678.52	$2,205.73	$3,744.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,284.13 / $7,227.90	Facility		$555.00	$2,284.13	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,726.41 / $3,537.32 / $7,457.63	Professional		$1,726.41	$3,537.32	$7,457.63
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 $1,701.93 / $2,557.79 / $6,822.37	Professional		$1,701.93	$2,557.79	$6,822.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,205.73 / $2,205.73 / $5,855.21	Facility		$2,205.73	$2,205.73	$5,855.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,678.52 / $2,342.57 / $4,797.29	Professional		$1,678.52	$2,342.57	$4,797.29