Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,621.00 / $9,868.00	Facility		$1,819.00	$3,621.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,552.20 / $2,075.41 / $4,215.85	Professional		$1,552.20	$2,075.41	$4,215.85
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 $1,448.19 / $1,893.07 / $4,462.27	Professional		$1,448.19	$1,893.07	$4,462.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,472.15 / $2,472.15 / $37,499.62	Facility		$2,472.15	$2,472.15	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,472.15 / $2,472.15 / $2,472.15	Professional		$2,472.15	$2,472.15	$2,472.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,998.59 / $1,998.59 / $7,227.90	Facility		$1,998.59	$1,998.59	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,725.30 / $3,262.55 / $6,530.11	Professional		$1,725.30	$3,262.55	$6,530.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,854.16 / $4,667.27	Facility		$319.00	$1,854.16	$4,667.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,039.58 / $2,329.76 / $3,588.61	Professional		$2,039.58	$2,329.76	$3,588.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,186.27 / $1,634.93 / $3,196.67	Professional		$1,186.27	$1,634.93	$3,196.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,998.59 / $7,227.90	Facility		$555.00	$1,998.59	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,793.79 / $3,103.89 / $6,483.48	Professional		$1,793.79	$3,103.89	$6,483.48
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 $1,538.95 / $2,208.05 / $5,469.71	Professional		$1,538.95	$2,208.05	$5,469.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,863.75 / $1,863.75 / $3,830.81	Facility		$1,863.75	$1,863.75	$3,830.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,186.27 / $2,142.05 / $3,830.81	Professional		$1,186.27	$2,142.05	$3,830.81