Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.57 / $3,996.00 / $10,296.00	Facility		$1,751.57	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,184.24 / $1,772.11 / $2,780.73	Professional		$1,184.24	$1,772.11	$2,780.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,188.77 / $1,553.96 / $3,529.40	Professional		$1,188.77	$1,553.96	$3,529.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,052.82 / $2,052.82 / $37,499.62	Facility		$2,052.82	$2,052.82	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,052.82 / $2,052.82 / $2,052.82	Professional		$2,052.82	$2,052.82	$2,052.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,652.99 / $1,652.99 / $7,227.90	Facility		$1,652.99	$1,652.99	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.39 / $2,519.94 / $5,662.49	Professional		$1,258.39	$2,519.94	$5,662.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,935.00 / $3,702.15	Facility		$319.00	$1,935.00	$3,702.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,645.40 / $1,967.72 / $2,944.80	Professional		$1,645.40	$1,967.72	$2,944.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,132.35 / $1,764.17 / $2,623.97	Professional		$1,132.35	$1,764.17	$2,623.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,652.99 / $7,227.90	Facility		$555.00	$1,652.99	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,497.02 / $2,451.65 / $5,252.76	Professional		$1,497.02	$2,451.65	$5,252.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,515.00	Facility		$1,479.00	$4,114.00	$8,515.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,225.99 / $1,827.70 / $4,549.81	Professional		$1,225.99	$1,827.70	$4,549.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,874.26 / $1,874.26 / $5,053.01	Facility		$1,874.26	$1,874.26	$5,053.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,132.35 / $1,874.26 / $3,061.34	Professional		$1,132.35	$1,874.26	$3,061.34