Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,678.21 / $4,392.00 / $10,296.00	Facility		$1,678.21	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,265.67 / $1,727.86 / $3,491.63	Professional		$1,265.67	$1,727.86	$3,491.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $16,411.00	Facility		$4,989.00	$9,720.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,179.77 / $1,542.19 / $3,710.66	Professional		$1,179.77	$1,542.19	$3,710.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,053.44 / $2,053.44 / $37,499.62	Facility		$2,053.44	$2,053.44	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,053.44 / $2,053.44 / $2,053.44	Professional		$2,053.44	$2,053.44	$2,053.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.40 / $1,661.40 / $7,227.90	Facility		$1,661.40	$1,661.40	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,454.14 / $2,702.12 / $5,418.48	Professional		$1,454.14	$2,702.12	$5,418.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,653.00 / $3,897.45	Facility		$319.00	$1,653.00	$3,897.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.95 / $1,947.58 / $2,996.71	Professional		$1,705.95	$1,947.58	$2,996.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,175.53 / $1,556.49 / $2,669.66	Professional		$1,175.53	$1,556.49	$2,669.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,661.40 / $7,227.90	Facility		$555.00	$1,661.40	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,487.74 / $2,682.40 / $5,673.23	Professional		$1,487.74	$2,682.40	$5,673.23
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 $1,300.89 / $1,853.68 / $4,772.97	Professional		$1,300.89	$1,853.68	$4,772.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,556.49 / $1,556.49 / $4,703.01	Facility		$1,556.49	$1,556.49	$4,703.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,251.07 / $1,788.91 / $3,385.24	Professional		$1,251.07	$1,788.91	$3,385.24