Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,100.00 / $9,661.00	Facility		$1,819.00	$3,100.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,542.81 / $2,054.84 / $3,447.96	Professional		$1,542.81	$2,054.84	$3,447.96
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 $1,418.37 / $1,761.37 / $3,980.83	Professional		$1,418.37	$1,761.37	$3,980.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,459.77 / $2,459.77 / $37,499.62	Facility		$2,459.77	$2,459.77	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,459.77 / $2,459.77 / $2,459.77	Professional		$2,459.77	$2,459.77	$2,459.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $1,988.99 / $7,227.90	Facility		$1,765.00	$1,988.99	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.46 / $2,590.51 / $6,458.48	Professional		$1,346.46	$2,590.51	$6,458.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,833.10 / $4,692.29	Facility		$332.00	$1,833.10	$4,692.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.91 / $2,405.88 / $3,607.85	Professional		$1,876.91	$2,405.88	$3,607.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,611.37 / $1,611.37 / $1,611.37	Facility		$1,611.37	$1,611.37	$1,611.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,339.19 / $2,062.64 / $3,201.22	Professional		$1,339.19	$2,062.64	$3,201.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,988.99 / $7,227.90	Facility		$597.00	$1,988.99	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,620.97 / $2,513.67 / $6,013.82	Professional		$1,620.97	$2,513.67	$6,013.82
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 $1,468.42 / $2,071.80 / $4,762.76	Professional		$1,468.42	$2,071.80	$4,762.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,062.64 / $2,062.64 / $6,431.65	Facility		$2,062.64	$2,062.64	$6,431.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,339.19 / $2,313.33 / $4,385.01	Professional		$1,339.19	$2,313.33	$4,385.01