Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,599.00 / $10,170.00	Facility		$1,819.00	$3,599.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,466.02 / $1,938.61 / $3,343.82	Professional		$1,466.02	$1,938.61	$3,343.82
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 $1,344.93 / $1,659.55 / $3,770.48	Professional		$1,344.93	$1,659.55	$3,770.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,345.42 / $2,345.42 / $37,499.62	Facility		$2,345.42	$2,345.42	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,345.42 / $2,345.42 / $2,345.42	Professional		$2,345.42	$2,345.42	$2,345.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $1,879.75 / $7,227.90	Facility		$1,765.00	$1,879.75	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.08 / $2,453.63 / $6,120.05	Professional		$1,304.08	$2,453.63	$6,120.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,599.00 / $4,451.83	Facility		$332.00	$1,599.00	$4,451.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,780.73 / $2,285.54 / $3,422.96	Professional		$1,780.73	$2,285.54	$3,422.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.96 / $1,529.96 / $1,529.96	Facility		$1,529.96	$1,529.96	$1,529.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,256.83 / $1,759.45 / $3,036.34	Professional		$1,256.83	$1,759.45	$3,036.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,879.75 / $7,227.90	Facility		$597.00	$1,879.75	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,432.46 / $2,385.23 / $5,699.74	Professional		$1,432.46	$2,385.23	$5,699.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,331.00 / $4,194.00 / $9,020.04	Facility		$1,331.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,394.50 / $1,978.59 / $4,591.82	Professional		$1,394.50	$1,978.59	$4,591.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,956.40 / $1,956.40 / $5,745.10	Facility		$1,956.40	$1,956.40	$5,745.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,256.83 / $2,194.17 / $4,159.14	Professional		$1,256.83	$2,194.17	$4,159.14