Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,759.32 / $3,326.72 / $10,170.00	Facility		$1,759.32	$3,326.72	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,406.64 / $1,754.70 / $2,944.44	Professional		$1,406.64	$1,754.70	$2,944.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,869.00	Facility		$4,100.00	$7,264.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,209.03 / $1,501.41 / $3,459.56	Professional		$1,209.03	$1,501.41	$3,459.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,072.40 / $2,072.40 / $37,499.62	Facility		$2,072.40	$2,072.40	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,072.40 / $2,072.40 / $2,072.40	Professional		$2,072.40	$2,072.40	$2,072.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.90 / $1,675.90 / $7,227.90	Facility		$1,675.90	$1,675.90	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,247.91 / $2,301.34 / $5,400.76	Professional		$1,247.91	$2,301.34	$5,400.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,000.00 / $3,920.11	Facility		$332.00	$2,000.00	$3,920.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,568.04 / $2,009.97 / $3,014.13	Professional		$1,568.04	$2,009.97	$3,014.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,349.77 / $1,349.77 / $1,349.77	Facility		$1,349.77	$1,349.77	$1,349.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,182.91 / $1,730.22 / $2,685.31	Professional		$1,182.91	$1,730.22	$2,685.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,675.90 / $7,227.90	Facility		$597.00	$1,675.90	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,494.80 / $2,301.34 / $5,030.28	Professional		$1,494.80	$2,301.34	$5,030.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,422.00 / $4,114.00 / $7,446.00	Facility		$1,422.00	$4,114.00	$7,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,240.99 / $1,751.99 / $4,069.41	Professional		$1,240.99	$1,751.99	$4,069.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,730.22 / $1,730.22 / $6,196.16	Facility		$1,730.22	$1,730.22	$6,196.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,264.63 / $1,940.52 / $3,678.32	Professional		$1,264.63	$1,940.52	$3,678.32