Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,885.59 / $3,840.09 / $10,170.00	Facility		$1,885.59	$3,840.09	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $2,544.17 / $4,392.85	Professional		$1,944.00	$2,544.17	$4,392.85
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 $1,789.21 / $2,221.89 / $5,015.83	Professional		$1,789.21	$2,221.89	$5,015.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,089.31 / $3,089.31 / $37,499.62	Facility		$3,089.31	$3,089.31	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,089.31 / $3,089.31 / $3,089.31	Professional		$3,089.31	$3,089.31	$3,089.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,477.98 / $7,227.90	Facility		$1,765.00	$2,477.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,742.02 / $3,269.68 / $8,054.12	Professional		$1,742.02	$3,269.68	$8,054.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,438.00 / $5,848.47	Facility		$332.00	$2,438.00	$5,848.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,339.39 / $2,999.50 / $4,496.82	Professional		$2,339.39	$2,999.50	$4,496.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,008.42 / $2,008.42 / $2,008.42	Facility		$2,008.42	$2,008.42	$2,008.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,749.71 / $2,573.10 / $3,993.44	Professional		$1,749.71	$2,573.10	$3,993.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,477.98 / $7,227.90	Facility		$597.00	$2,477.98	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,938.64 / $3,157.96 / $7,504.17	Professional		$1,938.64	$3,157.96	$7,504.17
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 $1,833.85 / $2,604.55 / $5,859.57	Professional		$1,833.85	$2,604.55	$5,859.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,573.10 / $2,573.10 / $6,272.76	Facility		$2,573.10	$2,573.10	$6,272.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,788.26 / $2,885.83 / $5,470.19	Professional		$1,788.26	$2,885.83	$5,470.19