Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $3,060.00 / $9,661.00	Facility		$1,817.98	$3,060.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,414.19 / $1,860.21 / $2,964.51	Professional		$1,414.19	$1,860.21	$2,964.51
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 $1,274.86 / $1,583.17 / $3,547.05	Professional		$1,274.86	$1,583.17	$3,547.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,174.01 / $2,174.01 / $37,499.62	Facility		$2,174.01	$2,174.01	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,174.01 / $2,174.01 / $2,174.01	Professional		$2,174.01	$2,174.01	$2,174.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,749.91 / $1,749.91 / $7,227.90	Facility		$1,749.91	$1,749.91	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.08 / $2,343.46 / $5,450.73	Professional		$1,200.08	$2,343.46	$5,450.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,155.00 / $3,946.84	Facility		$332.00	$1,155.00	$3,946.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,578.74 / $2,080.27 / $3,113.23	Professional		$1,578.74	$2,080.27	$3,113.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,434.67 / $1,434.67 / $1,434.67	Facility		$1,434.67	$1,434.67	$1,434.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,260.43 / $1,649.87 / $2,852.17	Professional		$1,260.43	$1,649.87	$2,852.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,749.91 / $7,227.90	Facility		$597.00	$1,749.91	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,426.59 / $2,226.91 / $5,121.92	Professional		$1,426.59	$2,226.91	$5,121.92
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 $1,261.73 / $1,787.70 / $3,987.62	Professional		$1,261.73	$1,787.70	$3,987.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,837.74 / $1,837.74 / $5,827.54	Facility		$1,837.74	$1,837.74	$5,827.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,260.43 / $2,061.10 / $3,906.88	Professional		$1,260.43	$2,061.10	$3,906.88