Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,621.00 / $10,170.00	Facility		$1,819.00	$3,621.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,669.83 / $2,204.17 / $3,776.36	Professional		$1,669.83	$2,204.17	$3,776.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,530.63 / $1,880.78 / $4,294.67	Professional		$1,530.63	$1,880.78	$4,294.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,648.38 / $2,648.38 / $37,499.62	Facility		$2,648.38	$2,648.38	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,648.38 / $2,648.38 / $2,648.38	Professional		$2,648.38	$2,648.38	$2,648.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,130.71 / $7,227.90	Facility		$1,765.00	$2,130.71	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,580.31 / $2,794.74 / $6,914.97	Professional		$1,580.31	$2,794.74	$6,914.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,810.00 / $5,027.68	Facility		$332.00	$1,810.00	$5,027.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,011.08 / $2,579.77 / $3,865.74	Professional		$2,011.08	$2,579.77	$3,865.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,725.26 / $1,725.26 / $1,725.26	Facility		$1,725.26	$1,725.26	$1,725.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,439.92 / $2,208.91 / $3,428.22	Professional		$1,439.92	$2,208.91	$3,428.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,130.71 / $7,227.90	Facility		$597.00	$2,130.71	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,601.78 / $2,708.14 / $6,449.29	Professional		$1,601.78	$2,708.14	$6,449.29
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 $1,585.94 / $2,232.46 / $5,222.66	Professional		$1,585.94	$2,232.46	$5,222.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,208.91 / $2,208.91 / $6,496.78	Facility		$2,208.91	$2,208.91	$6,496.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,439.92 / $2,477.38 / $4,695.95	Professional		$1,439.92	$2,477.38	$4,695.95