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 $1,712.54 / $2,120.92 / $3,755.61	Professional		$1,712.54	$2,120.92	$3,755.61
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 $1,597.88 / $1,963.41 / $4,259.78	Professional		$1,597.88	$1,963.41	$4,259.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,796.43 / $2,796.43 / $37,499.62	Facility		$2,796.43	$2,796.43	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,796.43 / $2,796.43 / $2,796.43	Professional		$2,796.43	$2,796.43	$2,796.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,256.13 / $7,227.90	Facility		$1,765.00	$2,256.13	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,539.22 / $2,807.05 / $7,353.76	Professional		$1,539.22	$2,807.05	$7,353.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $630.00 / $5,361.82	Facility		$332.00	$630.00	$5,361.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,144.73 / $2,753.70 / $4,122.64	Professional		$2,144.73	$2,753.70	$4,122.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,844.38 / $1,844.38 / $1,844.38	Facility		$1,844.38	$1,844.38	$1,844.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,410.72 / $2,354.35 / $3,653.96	Professional		$1,410.72	$2,354.35	$3,653.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,256.13 / $7,227.90	Facility		$597.00	$2,256.13	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,700.69 / $2,768.50 / $6,549.44	Professional		$1,700.69	$2,768.50	$6,549.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,419.00 / $3,962.00 / $7,222.00	Facility		$1,419.00	$3,962.00	$7,222.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,647.21 / $2,266.23 / $5,506.88	Professional		$1,647.21	$2,266.23	$5,506.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,354.35 / $2,354.35 / $6,435.85	Facility		$2,354.35	$2,354.35	$6,435.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,410.72 / $2,640.50 / $5,005.16	Professional		$1,410.72	$2,640.50	$5,005.16