Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $4,290.18 / $10,296.00	Facility		$1,821.00	$4,290.18	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,744.65 / $2,297.91 / $4,936.26	Professional		$1,744.65	$2,297.91	$4,936.26
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 $1,562.42 / $2,042.39 / $4,732.58	Professional		$1,562.42	$2,042.39	$4,732.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,728.95 / $2,728.95 / $37,499.62	Facility		$2,728.95	$2,728.95	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,728.95 / $2,728.95 / $2,728.95	Professional		$2,728.95	$2,728.95	$2,728.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,140.42 / $2,140.42 / $7,227.90	Facility		$2,140.42	$2,140.42	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,455.86 / $3,302.86 / $6,973.52	Professional		$1,455.86	$3,302.86	$6,973.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,665.00 / $4,948.39	Facility		$319.00	$1,665.00	$4,948.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,199.29 / $2,576.27 / $3,855.53	Professional		$2,199.29	$2,576.27	$3,855.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,562.62 / $2,068.13 / $3,510.64	Professional		$1,562.62	$2,068.13	$3,510.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,140.42 / $7,227.90	Facility		$555.00	$2,140.42	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,611.15 / $3,302.86 / $6,986.61	Professional		$1,611.15	$3,302.86	$6,986.61
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 $1,588.31 / $2,351.76 / $6,044.83	Professional		$1,588.31	$2,351.76	$6,044.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,068.13 / $2,068.13 / $5,438.52	Facility		$2,068.13	$2,068.13	$5,438.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,562.62 / $2,376.94 / $4,498.01	Professional		$1,562.62	$2,376.94	$4,498.01