Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,842.51 / $3,779.06 / $10,170.00	Facility		$1,842.51	$3,779.06	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,918.08 / $2,527.67 / $4,327.03	Professional		$1,918.08	$2,527.67	$4,327.03
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 $1,757.70 / $2,159.79 / $4,933.89	Professional		$1,757.70	$2,159.79	$4,933.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,037.24 / $3,037.24 / $37,499.62	Facility		$3,037.24	$3,037.24	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,037.24 / $3,037.24 / $3,037.24	Professional		$3,037.24	$3,037.24	$3,037.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,445.40 / $7,227.90	Facility		$1,765.00	$2,445.40	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,702.70 / $3,210.72 / $7,930.92	Professional		$1,702.70	$3,210.72	$7,930.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,155.00 / $5,760.83	Facility		$332.00	$1,155.00	$5,760.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,304.33 / $2,955.71 / $4,429.43	Professional		$2,304.33	$2,955.71	$4,429.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,976.70 / $1,976.70 / $1,976.70	Facility		$1,976.70	$1,976.70	$1,976.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,644.29 / $2,532.19 / $3,929.97	Professional		$1,644.29	$2,532.19	$3,929.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,445.40 / $7,227.90	Facility		$597.00	$2,445.40	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,809.77 / $3,096.17 / $7,389.27	Professional		$1,809.77	$3,096.17	$7,389.27
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 $1,806.37 / $2,560.37 / $5,894.51	Professional		$1,806.37	$2,560.37	$5,894.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,532.19 / $2,532.19 / $6,991.19	Facility		$2,532.19	$2,532.19	$6,991.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,644.29 / $2,839.96 / $5,383.25	Professional		$1,644.29	$2,839.96	$5,383.25