Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,766.75 / $3,996.00 / $10,296.00	Facility		$1,766.75	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.65 / $1,787.95 / $2,976.04	Professional		$1,042.65	$1,787.95	$2,976.04
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 $1,196.93 / $1,564.62 / $3,673.37	Professional		$1,196.93	$1,564.62	$3,673.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,072.52 / $2,072.52 / $37,499.62	Facility		$2,072.52	$2,072.52	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,072.52 / $2,072.52 / $2,072.52	Professional		$2,072.52	$2,072.52	$2,072.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.87 / $1,675.87 / $7,227.90	Facility		$1,675.87	$1,675.87	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,418.56 / $2,604.42 / $5,786.04	Professional		$1,418.56	$2,604.42	$5,786.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,574.65 / $3,962.18	Facility		$319.00	$1,574.65	$3,962.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,732.12 / $1,972.09 / $3,046.48	Professional		$1,732.12	$1,972.09	$3,046.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.82 / $1,596.23 / $2,629.09	Professional		$1,020.82	$1,596.23	$2,629.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,675.87 / $7,227.90	Facility		$555.00	$1,675.87	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,489.51 / $2,604.42 / $5,751.55	Professional		$1,489.51	$2,604.42	$5,751.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,988.00 / $8,133.00	Facility		$1,479.00	$3,988.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,309.06 / $1,942.35 / $5,138.24	Professional		$1,309.06	$1,942.35	$5,138.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,877.92 / $1,877.92 / $5,011.52	Facility		$1,877.92	$1,877.92	$5,011.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,020.82 / $1,808.33 / $3,067.31	Professional		$1,020.82	$1,808.33	$3,067.31