Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,503.64 / $3,996.00 / $10,296.00	Facility		$1,503.64	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.17 / $1,621.30 / $2,605.07	Professional		$903.17	$1,621.30	$2,605.07
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 $1,172.07 / $1,486.16 / $3,158.72	Professional		$1,172.07	$1,486.16	$3,158.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,741.37 / $1,741.37 / $37,499.62	Facility		$1,741.37	$1,741.37	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,741.37 / $1,741.37 / $1,741.37	Professional		$1,741.37	$1,741.37	$1,741.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.50 / $1,467.50 / $7,227.90	Facility		$1,467.50	$1,467.50	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.94 / $2,107.11 / $4,844.12	Professional		$1,174.94	$2,107.11	$4,844.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,378.94 / $3,468.29	Facility		$319.00	$1,378.94	$3,468.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.83 / $1,727.25 / $2,666.73	Professional		$1,516.83	$1,727.25	$2,666.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.17 / $1,548.57 / $2,303.39	Professional		$884.17	$1,548.57	$2,303.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,467.50 / $7,227.90	Facility		$555.00	$1,467.50	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,258.04 / $2,107.11 / $4,658.97	Professional		$1,258.04	$2,107.11	$4,658.97
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 $1,101.58 / $1,535.93 / $4,360.25	Professional		$1,101.58	$1,535.93	$4,360.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,645.28 / $1,645.28 / $4,366.12	Facility		$1,645.28	$1,645.28	$4,366.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $884.17 / $1,645.28 / $2,687.32	Professional		$884.17	$1,645.28	$2,687.32