Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,730.75 / $4,648.00 / $10,526.00	Facility		$1,730.75	$4,648.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.73 / $1,705.10 / $3,399.92	Professional		$1,248.73	$1,705.10	$3,399.92
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 $1,114.89 / $1,439.20 / $3,505.45	Professional		$1,114.89	$1,439.20	$3,505.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,012.17 / $2,012.17 / $37,499.62	Facility		$2,012.17	$2,012.17	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,012.17 / $2,012.17 / $2,012.17	Professional		$2,012.17	$2,012.17	$2,012.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,582.62 / $1,582.62 / $7,227.90	Facility		$1,582.62	$1,582.62	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,081.64 / $2,418.09 / $5,181.56	Professional		$1,081.64	$2,418.09	$5,181.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,493.23 / $3,654.23	Facility		$319.00	$1,493.23	$3,654.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.10 / $1,899.98 / $2,843.42	Professional		$1,624.10	$1,899.98	$2,843.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,216.78 / $1,529.52 / $2,596.36	Professional		$1,216.78	$1,529.52	$2,596.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,582.62 / $7,227.90	Facility		$555.00	$1,582.62	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,296.16 / $2,454.84 / $5,391.23	Professional		$1,296.16	$2,454.84	$5,391.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,180.56 / $1,714.68 / $4,339.75	Professional		$1,180.56	$1,714.68	$4,339.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,529.52 / $1,529.52 / $5,055.35	Facility		$1,529.52	$1,529.52	$5,055.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,272.11 / $1,757.91 / $3,326.58	Professional		$1,272.11	$1,757.91	$3,326.58