Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.59 / $3,298.52 / $10,170.00	Facility		$1,743.59	$3,298.52	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.83 / $1,724.31 / $2,918.73	Professional		$1,342.83	$1,724.31	$2,918.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,960.00 / $11,448.00	Facility		$3,283.00	$4,960.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.65 / $1,508.40 / $3,429.56	Professional		$1,214.65	$1,508.40	$3,429.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,054.84 / $2,054.84 / $37,499.62	Facility		$2,054.84	$2,054.84	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,054.84 / $2,054.84 / $2,054.84	Professional		$2,054.84	$2,054.84	$2,054.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.76 / $1,661.76 / $7,227.90	Facility		$1,661.76	$1,661.76	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,236.95 / $2,262.63 / $5,353.18	Professional		$1,236.95	$2,262.63	$5,353.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,800.00 / $3,885.89	Facility		$332.00	$1,800.00	$3,885.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,554.35 / $1,994.44 / $2,987.81	Professional		$1,554.35	$1,994.44	$2,987.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,337.79 / $1,337.79 / $1,337.79	Facility		$1,337.79	$1,337.79	$1,337.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,169.54 / $1,714.81 / $2,661.39	Professional		$1,169.54	$1,714.81	$2,661.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,661.76 / $7,227.90	Facility		$597.00	$1,661.76	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,483.94 / $2,182.26 / $4,986.09	Professional		$1,483.94	$2,182.26	$4,986.09
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,215.04 / $1,727.06 / $4,040.85	Professional		$1,215.04	$1,727.06	$4,040.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,714.81 / $1,714.81 / $4,217.56	Facility		$1,714.81	$1,714.81	$4,217.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,169.54 / $1,923.23 / $3,645.56	Professional		$1,169.54	$1,923.23	$3,645.56