Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $5,411.00 / $10,686.00	Facility		$1,817.98	$5,411.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.50 / $2,119.94 / $3,069.10	Professional		$1,312.50	$2,119.94	$3,069.10
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 $431.46 / $530.16 / $1,457.97	Professional		$431.46	$530.16	$1,457.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,518.90 / $3,518.90 / $37,499.62	Facility		$3,518.90	$3,518.90	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,518.90 / $3,518.90 / $3,518.90	Professional		$3,518.90	$3,518.90	$3,518.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,588.77 / $7,227.90	Facility		$1,765.00	$2,588.77	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,354.87 / $3,436.57 / $8,660.84	Professional		$1,354.87	$3,436.57	$8,660.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,325.00 / $2,325.00 / $4,766.25	Facility		$2,325.00	$2,325.00	$4,766.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.76 / $1,043.76 / $3,322.07	Professional		$1,043.76	$1,043.76	$3,322.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,709.35 / $1,709.35 / $1,709.35	Facility		$1,709.35	$1,709.35	$1,709.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,498.47 / $2,324.78 / $4,244.76	Professional		$1,498.47	$2,324.78	$4,244.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,588.77 / $7,227.90	Facility		$597.00	$2,588.77	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,456.00 / $3,573.91 / $8,665.49	Professional		$1,456.00	$3,573.91	$8,665.49
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 $1,388.42 / $2,563.29 / $6,569.70	Professional		$1,388.42	$2,563.29	$6,569.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,735.03 / $2,735.03 / $3,223.91	Facility		$2,735.03	$2,735.03	$3,223.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,498.47 / $2,700.77 / $5,781.41	Professional		$1,498.47	$2,700.77	$5,781.41