Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,489.08 / $10,170.00	Facility		$1,819.00	$3,489.08	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,521.49 / $1,912.80 / $3,380.53	Professional		$1,521.49	$1,912.80	$3,380.53
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 $1,302.16 / $1,617.07 / $3,708.94	Professional		$1,302.16	$1,617.07	$3,708.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,219.39 / $2,219.39 / $37,499.62	Facility		$2,219.39	$2,219.39	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,219.39 / $2,219.39 / $2,219.39	Professional		$2,219.39	$2,219.39	$2,219.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $1,795.73 / $7,227.90	Facility		$1,765.00	$1,795.73	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.86 / $2,493.91 / $5,769.85	Professional		$1,335.86	$2,493.91	$5,769.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,320.00 / $4,183.00	Facility		$332.00	$2,320.00	$4,183.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,673.20 / $2,146.23 / $3,216.26	Professional		$1,673.20	$2,146.23	$3,216.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,439.28 / $1,439.28 / $1,439.28	Facility		$1,439.28	$1,439.28	$1,439.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,269.68 / $1,846.98 / $2,866.52	Professional		$1,269.68	$1,846.98	$2,866.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,795.73 / $7,227.90	Facility		$597.00	$1,795.73	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,607.00 / $2,399.87 / $5,428.07	Professional		$1,607.00	$2,399.87	$5,428.07
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 $1,357.07 / $1,961.98 / $4,790.49	Professional		$1,357.07	$1,961.98	$4,790.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,846.98 / $1,846.98 / $6,859.15	Facility		$1,846.98	$1,846.98	$6,859.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,391.25 / $1,932.96 / $3,926.54	Professional		$1,391.25	$1,932.96	$3,926.54