Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.38 / $4,905.00 / $11,880.00	Facility		$1,778.38	$4,905.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,305.51 / $1,581.82 / $2,855.96	Professional		$1,305.51	$1,581.82	$2,855.96
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 $1,207.61 / $1,485.42 / $3,356.39	Professional		$1,207.61	$1,485.42	$3,356.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,087.79 / $2,087.79 / $37,499.62	Facility		$2,087.79	$2,087.79	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,087.79 / $2,087.79 / $2,087.79	Professional		$2,087.79	$2,087.79	$2,087.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,687.91 / $1,687.91 / $39,142.00	Facility		$1,687.91	$1,687.91	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.05 / $2,155.30 / $5,476.48	Professional		$1,149.05	$2,155.30	$5,476.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,584.40 / $7,533.00	Facility		$332.00	$1,584.40	$7,533.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,595.42 / $2,046.52 / $3,066.75	Professional		$1,595.42	$2,046.52	$3,066.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,368.55 / $1,368.55 / $1,368.55	Facility		$1,368.55	$1,368.55	$1,368.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,161.90 / $1,749.43 / $2,715.12	Professional		$1,161.90	$1,749.43	$2,715.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $1,687.91 / $39,142.00	Facility		$1,538.00	$1,687.91	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,208.68 / $2,104.69 / $5,099.07	Professional		$1,208.68	$2,104.69	$5,099.07
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 $1,260.06 / $1,772.69 / $4,477.43	Professional		$1,260.06	$1,772.69	$4,477.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,749.43 / $1,749.43 / $5,546.14	Facility		$1,749.43	$1,749.43	$5,546.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,161.90 / $1,962.06 / $3,719.15	Professional		$1,161.90	$1,962.06	$3,719.15