Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,705.23 / $3,338.33 / $10,170.00	Facility		$1,705.23	$3,338.33	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.92 / $1,716.95 / $2,960.86	Professional		$1,298.92	$1,716.95	$2,960.86
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 $1,192.71 / $1,470.15 / $3,342.64	Professional		$1,192.71	$1,470.15	$3,342.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,079.64 / $2,079.64 / $37,499.62	Facility		$2,079.64	$2,079.64	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,079.64 / $2,079.64 / $2,079.64	Professional		$2,079.64	$2,079.64	$2,079.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.96 / $1,664.96 / $7,227.90	Facility		$1,664.96	$1,664.96	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.02 / $2,166.75 / $5,421.82	Professional		$1,129.02	$2,166.75	$5,421.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,160.25 / $3,941.98	Facility		$332.00	$1,160.25	$3,941.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,576.79 / $2,023.70 / $3,030.94	Professional		$1,576.79	$2,023.70	$3,030.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,354.80 / $1,354.80 / $1,354.80	Facility		$1,354.80	$1,354.80	$1,354.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.09 / $1,558.02 / $2,689.71	Professional		$1,099.09	$1,558.02	$2,689.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,664.96 / $7,227.90	Facility		$597.00	$1,664.96	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,265.67 / $2,113.75 / $5,005.93	Professional		$1,265.67	$2,113.75	$5,005.93
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 $1,236.05 / $1,761.45 / $4,511.99	Professional		$1,236.05	$1,761.45	$4,511.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,733.06 / $1,733.06 / $5,037.09	Facility		$1,733.06	$1,733.06	$5,037.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,099.09 / $1,943.69 / $3,684.34	Professional		$1,099.09	$1,943.69	$3,684.34