Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,761.57 / $3,996.00 / $10,296.00	Facility		$1,761.57	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,187.56 / $1,787.58 / $2,794.43	Professional		$1,187.56	$1,787.58	$2,794.43
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 $1,198.05 / $1,566.09 / $3,548.15	Professional		$1,198.05	$1,566.09	$3,548.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,065.82 / $2,065.82 / $37,499.62	Facility		$2,065.82	$2,065.82	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,065.82 / $2,065.82 / $2,065.82	Professional		$2,065.82	$2,065.82	$2,065.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.92 / $1,659.92 / $7,227.90	Facility		$1,659.92	$1,659.92	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.06 / $2,535.83 / $5,703.86	Professional		$1,269.06	$2,535.83	$5,703.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,454.23 / $4,001.60	Facility		$319.00	$2,454.23	$4,001.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,653.51 / $1,977.02 / $2,958.71	Professional		$1,653.51	$1,977.02	$2,958.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,138.77 / $1,600.97 / $2,636.89	Professional		$1,138.77	$1,600.97	$2,636.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,659.92 / $7,227.90	Facility		$555.00	$1,659.92	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,503.78 / $2,463.73 / $5,280.80	Professional		$1,503.78	$2,463.73	$5,280.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,221.27 / $1,835.96 / $4,574.17	Professional		$1,221.27	$1,835.96	$4,574.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,883.49 / $1,883.49 / $5,077.03	Facility		$1,883.49	$1,883.49	$5,077.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,138.77 / $1,813.69 / $3,076.42	Professional		$1,138.77	$1,813.69	$3,076.42