Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,783.00 / $10,965.00	Facility		$1,819.00	$3,783.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,581.57 / $1,996.60 / $3,687.45	Professional		$1,581.57	$1,996.60	$3,687.45
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 $1,414.43 / $1,756.48 / $3,967.75	Professional		$1,414.43	$1,756.48	$3,967.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,455.50 / $2,455.50 / $37,499.62	Facility		$2,455.50	$2,455.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,455.50 / $2,455.50 / $2,455.50	Professional		$2,455.50	$2,455.50	$2,455.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $1,974.88 / $7,227.90	Facility		$1,765.00	$1,974.88	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.56 / $2,603.79 / $6,414.94	Professional		$1,401.56	$2,603.79	$6,414.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,909.00 / $4,657.16	Facility		$332.00	$1,909.00	$4,657.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.87 / $2,390.03 / $3,580.84	Professional		$1,862.87	$2,390.03	$3,580.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,599.00 / $1,599.00 / $1,599.00	Facility		$1,599.00	$1,599.00	$1,599.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,361.27 / $2,048.89 / $3,179.88	Professional		$1,361.27	$2,048.89	$3,179.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,974.88 / $41,554.00	Facility		$597.00	$1,974.88	$41,554.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,593.11 / $2,538.44 / $5,985.01	Professional		$1,593.11	$2,538.44	$5,985.01
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 $1,464.37 / $2,069.85 / $4,830.35	Professional		$1,464.37	$2,069.85	$4,830.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,048.89 / $2,048.89 / $6,660.27	Facility		$2,048.89	$2,048.89	$6,660.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,361.27 / $2,297.91 / $4,355.77	Professional		$1,361.27	$2,297.91	$4,355.77