Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.69 / $3,237.36 / $10,170.00	Facility		$1,708.69	$3,237.36	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,376.79 / $1,695.15 / $2,870.53	Professional		$1,376.79	$1,695.15	$2,870.53
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 $1,176.67 / $1,461.23 / $3,350.64	Professional		$1,176.67	$1,461.23	$3,350.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,016.74 / $2,016.74 / $37,499.62	Facility		$2,016.74	$2,016.74	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,016.74 / $2,016.74 / $2,016.74	Professional		$2,016.74	$2,016.74	$2,016.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,630.92 / $1,630.92 / $7,227.90	Facility		$1,630.92	$1,630.92	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.05 / $2,208.56 / $5,263.79	Professional		$1,149.05	$2,208.56	$5,263.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,955.00 / $3,821.72	Facility		$332.00	$1,955.00	$3,821.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.69 / $1,962.12 / $2,938.47	Professional		$1,528.69	$1,962.12	$2,938.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,316.78 / $1,316.78 / $1,316.78	Facility		$1,316.78	$1,316.78	$1,316.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,147.16 / $1,687.00 / $2,618.21	Professional		$1,147.16	$1,687.00	$2,618.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,630.92 / $7,227.90	Facility		$597.00	$1,630.92	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,363.13 / $2,130.09 / $4,905.30	Professional		$1,363.13	$2,130.09	$4,905.30
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 $1,188.35 / $1,654.84 / $3,928.56	Professional		$1,188.35	$1,654.84	$3,928.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,687.00 / $1,687.00 / $5,258.75	Facility		$1,687.00	$1,687.00	$5,258.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,200.58 / $1,892.04 / $3,586.42	Professional		$1,200.58	$1,892.04	$3,586.42