Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,330.10 / $9,661.00	Facility		$1,819.00	$3,330.10	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,718.87 / $2,275.14 / $4,228.35	Professional		$1,718.87	$2,275.14	$4,228.35
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 $1,555.11 / $1,931.18 / $4,322.67	Professional		$1,555.11	$1,931.18	$4,322.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,654.62 / $2,654.62 / $37,499.62	Facility		$2,654.62	$2,654.62	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,654.62 / $2,654.62 / $2,654.62	Professional		$2,654.62	$2,654.62	$2,654.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,124.06 / $7,227.90	Facility		$1,765.00	$2,124.06	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.85 / $2,864.16 / $6,743.38	Professional		$1,461.85	$2,864.16	$6,743.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,957.87 / $4,784.22	Facility		$332.00	$1,957.87	$4,784.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,913.69 / $2,521.52 / $3,773.59	Professional		$1,913.69	$2,521.52	$3,773.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,738.98 / $1,738.98 / $1,738.98	Facility		$1,738.98	$1,738.98	$1,738.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,524.52 / $1,999.83 / $3,463.11	Professional		$1,524.52	$1,999.83	$3,463.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,124.06 / $7,227.90	Facility		$597.00	$2,124.06	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,742.54 / $2,749.35 / $6,341.96	Professional		$1,742.54	$2,749.35	$6,341.96
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 $1,554.74 / $2,201.71 / $5,085.32	Professional		$1,554.74	$2,201.71	$5,085.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,231.38 / $2,231.38 / $7,266.08	Facility		$2,231.38	$2,231.38	$7,266.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,524.52 / $2,502.58 / $4,743.74	Professional		$1,524.52	$2,502.58	$4,743.74