Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $4,392.00 / $10,296.00	Facility		$1,817.98	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,486.46 / $1,930.01 / $4,655.75	Professional		$1,486.46	$1,930.01	$4,655.75
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 $1,343.80 / $1,756.61 / $4,132.08	Professional		$1,343.80	$1,756.61	$4,132.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,297.02 / $2,297.02 / $37,499.62	Facility		$2,297.02	$2,297.02	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,297.02 / $2,297.02 / $2,297.02	Professional		$2,297.02	$2,297.02	$2,297.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.69 / $1,858.69 / $7,227.90	Facility		$1,858.69	$1,858.69	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,601.24 / $3,040.58 / $6,067.06	Professional		$1,601.24	$3,040.58	$6,067.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,726.36 / $4,343.72	Facility		$319.00	$1,726.36	$4,343.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,899.00 / $2,168.88 / $3,339.83	Professional		$1,899.00	$2,168.88	$3,339.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,314.74 / $1,520.25 / $2,976.24	Professional		$1,314.74	$1,520.25	$2,976.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,858.69 / $7,227.90	Facility		$555.00	$1,858.69	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,667.25 / $3,013.56 / $6,067.06	Professional		$1,667.25	$3,013.56	$6,067.06
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 $1,380.99 / $2,048.19 / $5,245.83	Professional		$1,380.99	$2,048.19	$5,245.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,735.24 / $1,735.24 / $5,466.59	Facility		$1,735.24	$1,735.24	$5,466.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,405.34 / $1,994.35 / $3,774.00	Professional		$1,405.34	$1,994.35	$3,774.00