Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,792.00 / $10,768.00	Facility		$1,819.00	$4,792.00	$10,768.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,482.11 / $2,025.91 / $3,813.89	Professional		$1,482.11	$2,025.91	$3,813.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,317.90 / $1,722.75 / $4,269.31	Professional		$1,317.90	$1,722.75	$4,269.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,388.33 / $2,644.00 / $12,319.50	Facility		$2,388.33	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,388.33 / $2,388.33 / $2,388.33	Professional		$2,388.33	$2,388.33	$2,388.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,885.35 / $1,885.35 / $7,227.90	Facility		$1,885.35	$1,885.35	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,284.27 / $2,873.19 / $6,063.91	Professional		$1,284.27	$2,873.19	$6,063.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,779.54 / $4,355.18	Facility		$319.00	$1,779.54	$4,355.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,935.64 / $2,266.90 / $3,392.53	Professional		$1,935.64	$2,266.90	$3,392.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,369.91 / $1,634.58 / $3,094.39	Professional		$1,369.91	$1,634.58	$3,094.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,885.35 / $8,498.00	Facility		$597.00	$1,885.35	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,548.51 / $2,884.10 / $6,160.12	Professional		$1,548.51	$2,884.10	$6,160.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,436.05 / $2,148.23 / $5,608.99	Professional		$1,436.05	$2,148.23	$5,608.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,822.91 / $1,822.91 / $2,430.27	Facility		$1,822.91	$1,822.91	$2,430.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,460.79 / $1,822.91 / $3,553.76	Professional		$1,460.79	$1,822.91	$3,553.76