Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,591.25 / $3,422.02 / $10,170.00	Facility		$1,591.25	$3,422.02	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,349.96 / $1,649.18 / $2,959.24	Professional		$1,349.96	$1,649.18	$2,959.24
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 $1,245.05 / $1,529.86 / $3,348.94	Professional		$1,245.05	$1,529.86	$3,348.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,176.71 / $2,176.71 / $37,499.62	Facility		$2,176.71	$2,176.71	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,176.71 / $2,176.71 / $2,176.71	Professional		$2,176.71	$2,176.71	$2,176.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,742.32 / $1,742.32 / $7,227.90	Facility		$1,742.32	$1,742.32	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.96 / $2,197.25 / $5,676.94	Professional		$1,182.96	$2,197.25	$5,676.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,102.50 / $4,127.89	Facility		$332.00	$1,102.50	$4,127.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.16 / $2,119.52 / $3,173.89	Professional		$1,651.16	$2,119.52	$3,173.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,419.20 / $1,419.20 / $1,419.20	Facility		$1,419.20	$1,419.20	$1,419.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,129.88 / $1,815.10 / $2,817.03	Professional		$1,129.88	$1,815.10	$2,817.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,742.32 / $7,227.90	Facility		$597.00	$1,742.32	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,322.81 / $2,171.40 / $5,205.68	Professional		$1,322.81	$2,171.40	$5,205.68
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 $1,277.28 / $1,766.27 / $4,249.74	Professional		$1,277.28	$1,766.27	$4,249.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,815.10 / $1,815.10 / $5,192.22	Facility		$1,815.10	$1,815.10	$5,192.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,129.88 / $2,035.71 / $3,858.75	Professional		$1,129.88	$2,035.71	$3,858.75