Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,599.00 / $10,170.00	Facility		$1,819.00	$3,599.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.79 / $1,934.67 / $3,942.42	Professional		$1,499.79	$1,934.67	$3,942.42
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 $1,332.27 / $1,654.45 / $3,742.00	Professional		$1,332.27	$1,654.45	$3,742.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,303.63 / $2,303.63 / $37,499.62	Facility		$2,303.63	$2,303.63	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,303.63 / $2,303.63 / $2,303.63	Professional		$2,303.63	$2,303.63	$2,303.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $1,859.53 / $7,227.90	Facility		$1,765.00	$1,859.53	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.20 / $2,436.69 / $6,034.30	Professional		$1,313.20	$2,436.69	$6,034.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,701.00 / $4,388.10	Facility		$332.00	$1,701.00	$4,388.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,755.24 / $2,251.67 / $3,373.97	Professional		$1,755.24	$2,251.67	$3,373.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,506.17 / $1,506.17 / $1,506.17	Facility		$1,506.17	$1,506.17	$1,506.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,256.11 / $1,732.10 / $2,991.14	Professional		$1,256.11	$1,732.10	$2,991.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,859.53 / $7,227.90	Facility		$597.00	$1,859.53	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,472.73 / $2,356.84 / $5,629.02	Professional		$1,472.73	$2,356.84	$5,629.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,419.00 / $3,962.00 / $7,222.00	Facility		$1,419.00	$3,962.00	$7,222.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,376.89 / $1,935.00 / $4,545.70	Professional		$1,376.89	$1,935.00	$4,545.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,927.28 / $1,927.28 / $5,737.84	Facility		$1,927.28	$1,927.28	$5,737.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,256.11 / $2,022.79 / $4,097.24	Professional		$1,256.11	$2,022.79	$4,097.24