Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,411.00 / $10,686.00	Facility		$1,819.00	$5,411.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,957.57 / $2,548.69 / $3,646.50	Professional		$1,957.57	$2,548.69	$3,646.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $983.79 / $1,157.40 / $2,100.61	Professional		$983.79	$1,157.40	$2,100.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,787.77 / $2,787.77 / $37,499.62	Facility		$2,787.77	$2,787.77	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,787.77 / $2,787.77 / $2,787.77	Professional		$2,787.77	$2,787.77	$2,787.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,354.05 / $7,227.90	Facility		$1,765.00	$2,354.05	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.52 / $3,096.72 / $7,677.82	Professional		$1,127.52	$3,096.72	$7,677.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,695.00 / $6,105.15	Facility		$332.00	$2,695.00	$6,105.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.56 / $1,493.12 / $2,370.81	Professional		$1,105.56	$1,493.12	$2,370.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,004.84 / $1,004.84 / $1,004.84	Facility		$1,004.84	$1,004.84	$1,004.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.76 / $1,256.05 / $1,949.39	Professional		$801.76	$1,256.05	$1,949.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,354.05 / $7,227.90	Facility		$597.00	$2,354.05	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,418.30 / $3,156.67 / $7,677.82	Professional		$1,418.30	$3,156.67	$7,677.82
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 $873.17 / $1,370.13 / $2,969.88	Professional		$873.17	$1,370.13	$2,969.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,004.84 / $1,256.05 / $1,256.05	Facility		$1,004.84	$1,256.05	$1,256.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $970.93 / $1,408.71 / $2,655.09	Professional		$970.93	$1,408.71	$2,655.09