Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,718.03 / $3,256.82 / $10,170.00	Facility		$1,718.03	$3,256.82	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.19 / $1,719.75 / $2,872.24	Professional		$1,412.19	$1,719.75	$2,872.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,499.00 / $7,264.00 / $13,780.00	Facility		$4,499.00	$7,264.00	$13,780.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,226.19 / $1,522.72 / $3,476.38	Professional		$1,226.19	$1,522.72	$3,476.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,028.86 / $3,478.50 / $13,477.50	Facility		$2,028.86	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,028.86 / $2,028.86 / $2,028.86	Professional		$2,028.86	$2,028.86	$2,028.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,636.73 / $1,636.73 / $7,227.90	Facility		$1,636.73	$1,636.73	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.40 / $2,382.73 / $5,338.01	Professional		$1,216.40	$2,382.73	$5,338.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,647.00 / $3,823.99	Facility		$332.00	$1,647.00	$3,823.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,529.60 / $1,962.71 / $2,940.22	Professional		$1,529.60	$1,962.71	$2,940.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,316.72 / $1,316.72 / $1,316.72	Facility		$1,316.72	$1,316.72	$1,316.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.48 / $1,688.89 / $2,621.16	Professional		$1,025.48	$1,688.89	$2,621.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,636.73 / $7,227.90	Facility		$597.00	$1,636.73	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,476.88 / $2,193.17 / $4,976.66	Professional		$1,476.88	$2,193.17	$4,976.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,419.00 / $3,962.00 / $7,222.00	Facility		$1,419.00	$3,962.00	$7,222.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.99 / $1,731.73 / $3,915.55	Professional		$1,258.99	$1,731.73	$3,915.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,688.89 / $1,688.89 / $3,852.87	Facility		$1,688.89	$1,688.89	$3,852.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,025.48 / $1,894.16 / $3,590.45	Professional		$1,025.48	$1,894.16	$3,590.45