Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,599.00 / $10,170.00	Facility		$1,819.00	$3,599.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,755.68 / $2,324.23 / $3,996.77	Professional		$1,755.68	$2,324.23	$3,996.77
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 $1,610.82 / $1,983.04 / $4,510.55	Professional		$1,610.82	$1,983.04	$4,510.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,792.01 / $2,792.01 / $37,499.62	Facility		$2,792.01	$2,792.01	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,792.01 / $2,792.01 / $2,792.01	Professional		$2,792.01	$2,792.01	$2,792.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,258.30 / $7,227.90	Facility		$1,765.00	$2,258.30	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,585.69 / $2,944.57 / $7,316.42	Professional		$1,585.69	$2,944.57	$7,316.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,500.00 / $5,321.14	Facility		$332.00	$2,500.00	$5,321.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,128.46 / $2,725.22 / $4,091.36	Professional		$2,128.46	$2,725.22	$4,091.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,825.44 / $1,825.44 / $1,825.44	Facility		$1,825.44	$1,825.44	$1,825.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,540.89 / $2,335.73 / $3,625.07	Professional		$1,540.89	$2,335.73	$3,625.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,258.30 / $7,227.90	Facility		$597.00	$2,258.30	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,753.00 / $2,861.73 / $6,817.04	Professional		$1,753.00	$2,861.73	$6,817.04
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 $1,668.50 / $2,318.26 / $5,426.32	Professional		$1,668.50	$2,318.26	$5,426.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,335.73 / $2,335.73 / $7,101.53	Facility		$2,335.73	$2,335.73	$7,101.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,540.89 / $2,619.63 / $4,965.60	Professional		$1,540.89	$2,619.63	$4,965.60