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 $1,682.84 / $2,198.58 / $3,796.13	Professional		$1,682.84	$2,198.58	$3,796.13
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 $1,532.60 / $1,903.23 / $4,312.16	Professional		$1,532.60	$1,903.23	$4,312.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,665.22 / $2,665.22 / $37,499.62	Facility		$2,665.22	$2,665.22	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,665.22 / $2,665.22 / $2,665.22	Professional		$2,665.22	$2,665.22	$2,665.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,139.92 / $7,227.90	Facility		$1,765.00	$2,139.92	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,489.37 / $2,800.24 / $6,958.31	Professional		$1,489.37	$2,800.24	$6,958.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,891.75 / $5,054.02	Facility		$332.00	$1,891.75	$5,054.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,021.61 / $2,594.14 / $3,885.98	Professional		$2,021.61	$2,594.14	$3,885.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.93 / $1,735.93 / $1,735.93	Facility		$1,735.93	$1,735.93	$1,735.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.95 / $2,223.63 / $3,451.08	Professional		$1,440.95	$2,223.63	$3,451.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,139.92 / $7,227.90	Facility		$597.00	$2,139.92	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,664.00 / $2,724.46 / $6,485.34	Professional		$1,664.00	$2,724.46	$6,485.34
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 $1,586.88 / $2,262.25 / $5,448.64	Professional		$1,586.88	$2,262.25	$5,448.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,223.63 / $2,223.63 / $6,485.05	Facility		$2,223.63	$2,223.63	$6,485.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,440.95 / $2,493.89 / $4,727.27	Professional		$1,440.95	$2,493.89	$4,727.27