Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.28 / $3,599.00 / $10,170.00	Facility		$1,651.28	$3,599.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.44 / $1,824.65 / $3,448.82	Professional		$1,519.44	$1,824.65	$3,448.82
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 $1,395.01 / $1,732.37 / $3,916.91	Professional		$1,395.01	$1,732.37	$3,916.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,409.10 / $2,409.10 / $37,499.62	Facility		$2,409.10	$2,409.10	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,409.10 / $2,409.10 / $2,409.10	Professional		$2,409.10	$2,409.10	$2,409.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $1,948.55 / $7,227.90	Facility		$1,765.00	$1,948.55	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,365.81 / $2,548.92 / $6,318.22	Professional		$1,365.81	$2,548.92	$6,318.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,215.00 / $4,591.62	Facility		$332.00	$2,215.00	$4,591.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,836.65 / $2,371.04 / $3,530.45	Professional		$1,836.65	$2,371.04	$3,530.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,576.09 / $1,576.09 / $1,576.09	Facility		$1,576.09	$1,576.09	$1,576.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,331.26 / $1,812.50 / $3,130.78	Professional		$1,331.26	$1,812.50	$3,130.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,948.55 / $7,227.90	Facility		$597.00	$1,948.55	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,556.92 / $2,491.27 / $5,889.93	Professional		$1,556.92	$2,491.27	$5,889.93
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 $1,445.18 / $2,041.09 / $4,678.22	Professional		$1,445.18	$2,041.09	$4,678.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,017.26 / $2,017.26 / $6,285.67	Facility		$2,017.26	$2,017.26	$6,285.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,331.26 / $2,262.42 / $4,288.53	Professional		$1,331.26	$2,262.42	$4,288.53