Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,983.44 / $9,038.00	Facility		$1,819.00	$3,983.44	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,411.06 / $2,088.52 / $4,109.22	Professional		$1,411.06	$2,088.52	$4,109.22
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 $1,411.89 / $1,845.62 / $4,303.01	Professional		$1,411.89	$1,845.62	$4,303.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $2,481.51 / $6,213.00	Facility		$1,716.00	$2,481.51	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,481.51 / $2,481.51 / $2,481.51	Professional		$2,481.51	$2,481.51	$2,481.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,939.78 / $1,939.78 / $4,612.43	Facility		$1,939.78	$1,939.78	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,329.30 / $2,984.31 / $6,309.15	Professional		$1,329.30	$2,984.31	$6,309.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,834.24 / $4,486.93	Facility		$319.00	$1,834.24	$4,486.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,994.19 / $2,324.07 / $3,478.10	Professional		$1,994.19	$2,324.07	$3,478.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,416.85 / $1,871.83 / $3,210.52	Professional		$1,416.85	$1,871.83	$3,210.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,939.78 / $4,612.43	Facility		$555.00	$1,939.78	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,473.25 / $2,967.06 / $6,309.15	Professional		$1,473.25	$2,967.06	$6,309.15
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 $1,383.21 / $2,077.30 / $4,825.93	Professional		$1,383.21	$2,077.30	$4,825.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,871.83 / $1,871.83 / $5,308.44	Facility		$1,871.83	$1,871.83	$5,308.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,416.85 / $2,151.33 / $4,071.07	Professional		$1,416.85	$2,151.33	$4,071.07