Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,734.81 / $10,170.00	Facility		$1,819.00	$3,734.81	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,879.22 / $2,460.63 / $4,281.35	Professional		$1,879.22	$2,460.63	$4,281.35
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 $1,735.75 / $2,132.82 / $4,875.39	Professional		$1,735.75	$2,132.82	$4,875.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,992.27 / $2,992.27 / $37,499.62	Facility		$2,992.27	$2,992.27	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,992.27 / $2,992.27 / $2,992.27	Professional		$2,992.27	$2,992.27	$2,992.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,420.59 / $7,227.90	Facility		$1,765.00	$2,420.59	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,663.42 / $3,172.64 / $7,840.21	Professional		$1,663.42	$3,172.64	$7,840.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,280.00 / $5,700.04	Facility		$332.00	$2,280.00	$5,700.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,385.41 / $2,941.50 / $4,382.70	Professional		$2,385.41	$2,941.50	$4,382.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,955.25 / $1,955.25 / $1,955.25	Facility		$1,955.25	$1,955.25	$1,955.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,564.20 / $2,502.55 / $3,883.95	Professional		$1,564.20	$2,502.55	$3,883.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,420.59 / $7,227.90	Facility		$597.00	$2,420.59	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,820.00 / $3,070.23 / $7,250.69	Professional		$1,820.00	$3,070.23	$7,250.69
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 $1,749.58 / $2,533.35 / $5,929.46	Professional		$1,749.58	$2,533.35	$5,929.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,502.55 / $2,502.55 / $5,974.38	Facility		$2,502.55	$2,502.55	$5,974.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,564.20 / $2,806.70 / $5,320.21	Professional		$1,564.20	$2,806.70	$5,320.21