Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,216.68 / $9,661.00	Facility		$1,819.00	$3,216.68	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,689.56 / $2,198.67 / $3,666.07	Professional		$1,689.56	$2,198.67	$3,666.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,922.00 / $11,208.00	Facility		$3,283.00	$4,922.00	$11,208.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,525.85 / $1,894.85 / $4,240.60	Professional		$1,525.85	$1,894.85	$4,240.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,618.21 / $2,618.21 / $37,499.62	Facility		$2,618.21	$2,618.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,618.21 / $2,618.21 / $2,618.21	Professional		$2,618.21	$2,618.21	$2,618.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,055.25 / $7,227.90	Facility		$1,765.00	$2,055.25	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,451.30 / $2,774.54 / $6,547.27	Professional		$1,451.30	$2,774.54	$6,547.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,924.00 / $4,625.80	Facility		$332.00	$1,924.00	$4,625.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,850.32 / $2,439.65 / $3,651.07	Professional		$1,850.32	$2,439.65	$3,651.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.52 / $1,682.52 / $1,682.52	Facility		$1,682.52	$1,682.52	$1,682.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,483.45 / $2,155.38 / $3,345.15	Professional		$1,483.45	$2,155.38	$3,345.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,055.25 / $7,227.90	Facility		$597.00	$2,055.25	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,686.11 / $2,668.08 / $6,149.02	Professional		$1,686.11	$2,668.08	$6,149.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,331.00 / $4,194.00 / $9,020.04	Facility		$1,331.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,461.38 / $2,133.33 / $5,085.02	Professional		$1,461.38	$2,133.33	$5,085.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,155.38 / $2,155.38 / $7,120.07	Facility		$2,155.38	$2,155.38	$7,120.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,483.45 / $2,417.35 / $4,582.17	Professional		$1,483.45	$2,417.35	$4,582.17