Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,392.00 / $10,296.00	Facility		$1,819.00	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.67 / $2,103.40 / $4,288.22	Professional		$1,557.67	$2,103.40	$4,288.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,221.41 / $2,684.44 / $4,559.74	Professional		$2,221.41	$2,684.44	$4,559.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,503.17 / $2,503.17 / $37,499.62	Facility		$2,503.17	$2,503.17	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,503.17 / $2,503.17 / $2,503.17	Professional		$2,503.17	$2,503.17	$2,503.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,023.91 / $2,023.91 / $7,227.90	Facility		$2,023.91	$2,023.91	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,783.24 / $3,320.42 / $6,609.57	Professional		$1,783.24	$3,320.42	$6,609.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,113.00 / $4,733.33	Facility		$319.00	$2,113.00	$4,733.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,069.63 / $2,363.56 / $3,639.40	Professional		$2,069.63	$2,363.56	$3,639.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,442.79 / $1,890.61 / $3,242.74	Professional		$1,442.79	$1,890.61	$3,242.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,023.91 / $7,227.90	Facility		$555.00	$2,023.91	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,783.24 / $3,134.51 / $6,609.57	Professional		$1,783.24	$3,134.51	$6,609.57
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 $1,480.57 / $2,186.10 / $4,923.80	Professional		$1,480.57	$2,186.10	$4,923.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,890.61 / $1,890.61 / $6,071.40	Facility		$1,890.61	$1,890.61	$6,071.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,562.71 / $2,172.92 / $4,111.93	Professional		$1,562.71	$2,172.92	$4,111.93