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 $1,590.11 / $2,108.50 / $3,614.37	Professional		$1,590.11	$2,108.50	$3,614.37
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 $1,463.39 / $1,817.28 / $4,114.10	Professional		$1,463.39	$1,817.28	$4,114.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,527.63 / $2,527.63 / $37,499.62	Facility		$2,527.63	$2,527.63	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,527.63 / $2,527.63 / $2,527.63	Professional		$2,527.63	$2,527.63	$2,527.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,040.31 / $7,227.90	Facility		$1,765.00	$2,040.31	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.75 / $2,673.62 / $6,615.31	Professional		$1,428.75	$2,673.62	$6,615.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,782.00 / $4,812.03	Facility		$332.00	$1,782.00	$4,812.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,924.81 / $2,468.94 / $3,699.92	Professional		$1,924.81	$2,468.94	$3,699.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.27 / $1,651.27 / $1,651.27	Facility		$1,651.27	$1,651.27	$1,651.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,376.92 / $2,112.75 / $3,278.99	Professional		$1,376.92	$2,112.75	$3,278.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,040.31 / $7,227.90	Facility		$597.00	$2,040.31	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,561.23 / $2,588.29 / $6,166.72	Professional		$1,561.23	$2,588.29	$6,166.72
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 $1,504.18 / $2,155.98 / $5,429.30	Professional		$1,504.18	$2,155.98	$5,429.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,112.75 / $2,112.75 / $6,158.64	Facility		$2,112.75	$2,112.75	$6,158.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,376.92 / $2,369.53 / $4,491.53	Professional		$1,376.92	$2,369.53	$4,491.53