Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,734.81 / $3,203.39 / $10,170.00	Facility		$1,734.81	$3,203.39	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.61 / $1,715.74 / $2,907.49	Professional		$1,341.61	$1,715.74	$2,907.49
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 $1,185.68 / $1,472.41 / $3,364.16	Professional		$1,185.68	$1,472.41	$3,364.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,037.66 / $2,037.66 / $37,499.62	Facility		$2,037.66	$2,037.66	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,037.66 / $2,037.66 / $2,037.66	Professional		$2,037.66	$2,037.66	$2,037.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,648.58 / $1,648.58 / $7,227.90	Facility		$1,648.58	$1,648.58	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.79 / $2,225.98 / $5,330.97	Professional		$1,156.79	$2,225.98	$5,330.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,780.00 / $3,870.92	Facility		$332.00	$1,780.00	$3,870.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.37 / $1,987.68 / $2,976.31	Professional		$1,548.37	$1,987.68	$2,976.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,334.26 / $1,334.26 / $1,334.26	Facility		$1,334.26	$1,334.26	$1,334.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,161.84 / $1,534.40 / $2,651.75	Professional		$1,161.84	$1,534.40	$2,651.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,648.58 / $7,227.90	Facility		$597.00	$1,648.58	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,340.81 / $2,108.71 / $4,969.50	Professional		$1,340.81	$2,108.71	$4,969.50
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 $1,213.77 / $1,673.59 / $4,309.57	Professional		$1,213.77	$1,673.59	$4,309.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,708.60 / $1,708.60 / $5,012.85	Facility		$1,708.60	$1,708.60	$5,012.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,180.45 / $1,916.26 / $3,632.35	Professional		$1,180.45	$1,916.26	$3,632.35