Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,812.01 / $3,419.00 / $10,170.00	Facility		$1,812.01	$3,419.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.90 / $1,796.43 / $3,082.14	Professional		$1,355.90	$1,796.43	$3,082.14
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 $1,244.20 / $1,533.00 / $3,492.43	Professional		$1,244.20	$1,533.00	$3,492.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,150.23 / $2,150.23 / $37,499.62	Facility		$2,150.23	$2,150.23	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,150.23 / $2,150.23 / $2,150.23	Professional		$2,150.23	$2,150.23	$2,150.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,739.15 / $1,739.15 / $7,227.90	Facility		$1,739.15	$1,739.15	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.33 / $2,272.69 / $5,642.40	Professional		$1,217.33	$2,272.69	$5,642.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,575.00 / $4,103.43	Facility		$332.00	$1,575.00	$4,103.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,641.38 / $2,103.06 / $3,155.09	Professional		$1,641.38	$2,103.06	$3,155.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,408.53 / $1,408.53 / $1,408.53	Facility		$1,408.53	$1,408.53	$1,408.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,186.34 / $1,802.08 / $2,796.82	Professional		$1,186.34	$1,802.08	$2,796.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,739.15 / $7,227.90	Facility		$597.00	$1,739.15	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,359.23 / $2,206.89 / $5,264.01	Professional		$1,359.23	$2,206.89	$5,264.01
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 $1,288.26 / $1,831.09 / $4,168.13	Professional		$1,288.26	$1,831.09	$4,168.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,802.08 / $1,802.08 / $5,531.43	Facility		$1,802.08	$1,802.08	$5,531.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,186.34 / $2,021.10 / $3,831.07	Professional		$1,186.34	$2,021.10	$3,831.07