Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,710.60 / $3,419.00 / $10,170.00	Facility		$1,710.60	$3,419.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,443.81 / $1,710.60 / $3,074.82	Professional		$1,443.81	$1,710.60	$3,074.82
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 $1,241.67 / $1,541.94 / $3,540.17	Professional		$1,241.67	$1,541.94	$3,540.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,145.83 / $2,145.83 / $37,499.62	Facility		$2,145.83	$2,145.83	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,145.83 / $2,145.83 / $2,145.83	Professional		$2,145.83	$2,145.83	$2,145.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,734.82 / $1,734.82 / $7,227.90	Facility		$1,734.82	$1,734.82	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.99 / $2,294.03 / $5,628.93	Professional		$1,300.99	$2,294.03	$5,628.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,780.00 / $4,093.70	Facility		$332.00	$1,780.00	$4,093.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,637.48 / $2,098.08 / $3,147.60	Professional		$1,637.48	$2,098.08	$3,147.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,405.14 / $1,405.14 / $1,405.14	Facility		$1,405.14	$1,405.14	$1,405.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,228.59 / $1,797.72 / $2,790.07	Professional		$1,228.59	$1,797.72	$2,790.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,734.82 / $7,227.90	Facility		$597.00	$1,734.82	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,382.35 / $2,217.08 / $5,223.51	Professional		$1,382.35	$2,217.08	$5,223.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,344.00 / $16,403.00	Facility		$2,264.00	$6,344.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.38 / $1,778.31 / $4,233.43	Professional		$1,235.38	$1,778.31	$4,233.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,797.72 / $1,797.72 / $5,087.41	Facility		$1,797.72	$1,797.72	$5,087.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,228.59 / $2,016.22 / $3,821.81	Professional		$1,228.59	$2,016.22	$3,821.81