Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $4,350.70 / $10,296.00	Facility		$1,821.00	$4,350.70	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,574.10 / $2,330.56 / $4,605.54	Professional		$1,574.10	$2,330.56	$4,605.54
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 $1,584.65 / $2,071.44 / $4,798.18	Professional		$1,584.65	$2,071.44	$4,798.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,767.46 / $2,767.46 / $37,499.62	Facility		$2,767.46	$2,767.46	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,767.46 / $2,767.46 / $2,767.46	Professional		$2,767.46	$2,767.46	$2,767.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,171.00 / $2,171.00 / $7,227.90	Facility		$2,171.00	$2,171.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,476.62 / $3,347.16 / $7,072.46	Professional		$1,476.62	$3,347.16	$7,072.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,665.00 / $5,017.85	Facility		$319.00	$1,665.00	$5,017.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,230.16 / $2,612.81 / $3,910.21	Professional		$2,230.16	$2,612.81	$3,910.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,577.50 / $1,801.94 / $3,559.82	Professional		$1,577.50	$1,801.94	$3,559.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,171.00 / $7,227.90	Facility		$555.00	$2,171.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,632.76 / $3,347.16 / $7,072.46	Professional		$1,632.76	$3,347.16	$7,072.46
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 $1,555.60 / $2,355.02 / $5,477.72	Professional		$1,555.60	$2,355.02	$5,477.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,097.10 / $2,097.10 / $5,479.93	Facility		$2,097.10	$2,097.10	$5,479.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,577.50 / $2,410.23 / $4,561.03	Professional		$1,577.50	$2,410.23	$4,561.03