Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,165.66 / $9,661.00	Facility		$1,819.00	$3,165.66	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.06 / $2,092.52 / $3,814.06	Professional		$1,634.06	$2,092.52	$3,814.06
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 $1,479.99 / $1,837.89 / $4,085.65	Professional		$1,479.99	$1,837.89	$4,085.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,523.44 / $2,523.44 / $37,499.62	Facility		$2,523.44	$2,523.44	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,523.44 / $2,523.44 / $2,523.44	Professional		$2,523.44	$2,523.44	$2,523.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,014.84 / $7,227.90	Facility		$1,765.00	$2,014.84	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.37 / $2,736.22 / $6,311.27	Professional		$1,388.37	$2,736.22	$6,311.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,863.16 / $4,552.93	Facility		$332.00	$1,863.16	$4,552.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,821.18 / $2,396.76 / $3,586.88	Professional		$1,821.18	$2,396.76	$3,586.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,652.94 / $1,652.94 / $1,652.94	Facility		$1,652.94	$1,652.94	$1,652.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,434.85 / $1,900.88 / $3,292.08	Professional		$1,434.85	$1,900.88	$3,292.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,014.84 / $7,227.90	Facility		$597.00	$2,014.84	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,557.63 / $2,589.50 / $5,907.96	Professional		$1,557.63	$2,589.50	$5,907.96
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 $1,438.37 / $2,056.32 / $4,627.33	Professional		$1,438.37	$2,056.32	$4,627.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,121.19 / $2,121.19 / $6,639.13	Facility		$2,121.19	$2,121.19	$6,639.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,434.85 / $2,379.00 / $4,509.47	Professional		$1,434.85	$2,379.00	$4,509.47