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 $1,657.18 / $2,213.94 / $3,794.79	Professional		$1,657.18	$2,213.94	$3,794.79
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 $1,539.63 / $1,891.84 / $4,273.10	Professional		$1,539.63	$1,891.84	$4,273.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,654.40 / $2,654.40 / $37,499.62	Facility		$2,654.40	$2,654.40	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,654.40 / $2,654.40 / $2,654.40	Professional		$2,654.40	$2,654.40	$2,654.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,142.85 / $7,227.90	Facility		$1,765.00	$2,142.85	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,492.53 / $2,812.61 / $6,947.36	Professional		$1,492.53	$2,812.61	$6,947.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $945.00 / $5,052.24	Facility		$332.00	$945.00	$5,052.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,020.90 / $2,592.14 / $3,884.61	Professional		$2,020.90	$2,592.14	$3,884.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,733.63 / $1,733.63 / $1,733.63	Facility		$1,733.63	$1,733.63	$1,733.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,453.80 / $2,218.60 / $3,443.27	Professional		$1,453.80	$2,218.60	$3,443.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,142.85 / $7,227.90	Facility		$597.00	$2,142.85	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,574.93 / $2,710.22 / $6,432.63	Professional		$1,574.93	$2,710.22	$6,432.63
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 $1,588.81 / $2,266.32 / $5,168.18	Professional		$1,588.81	$2,266.32	$5,168.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,218.60 / $2,218.60 / $5,301.34	Facility		$2,218.60	$2,218.60	$5,301.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,453.80 / $2,328.26 / $4,716.56	Professional		$1,453.80	$2,328.26	$4,716.56