Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,305.80 / $9,661.00	Facility		$1,819.00	$3,305.80	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.71 / $2,188.67 / $4,028.24	Professional		$1,712.71	$2,188.67	$4,028.24
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 $1,549.20 / $1,923.85 / $4,587.66	Professional		$1,549.20	$1,923.85	$4,587.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,636.10 / $2,636.10 / $37,499.62	Facility		$2,636.10	$2,636.10	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,636.10 / $2,636.10 / $2,636.10	Professional		$2,636.10	$2,636.10	$2,636.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,108.35 / $7,227.90	Facility		$1,765.00	$2,108.35	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,451.07 / $2,877.75 / $6,614.74	Professional		$1,451.07	$2,877.75	$6,614.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,952.00 / $4,752.56	Facility		$332.00	$1,952.00	$4,752.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,901.03 / $2,504.19 / $3,747.66	Professional		$1,901.03	$2,504.19	$3,747.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,727.03 / $1,727.03 / $1,727.03	Facility		$1,727.03	$1,727.03	$1,727.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,524.23 / $2,215.09 / $3,437.82	Professional		$1,524.23	$2,215.09	$3,437.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,108.35 / $7,227.90	Facility		$597.00	$2,108.35	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,734.22 / $2,715.31 / $6,289.06	Professional		$1,734.22	$2,715.31	$6,289.06
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 $1,501.43 / $2,141.64 / $4,803.52	Professional		$1,501.43	$2,141.64	$4,803.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,215.09 / $2,215.09 / $7,258.96	Facility		$2,215.09	$2,215.09	$7,258.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,524.23 / $2,484.31 / $4,709.10	Professional		$1,524.23	$2,484.31	$4,709.10