Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,811.88 / $3,996.00 / $10,296.00	Facility		$1,811.88	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.94 / $1,825.11 / $3,185.85	Professional		$1,087.94	$1,825.11	$3,185.85
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 $1,283.03 / $1,677.17 / $3,630.08	Professional		$1,283.03	$1,677.17	$3,630.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,219.81 / $2,219.81 / $37,499.62	Facility		$2,219.81	$2,219.81	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,219.81 / $2,219.81 / $2,219.81	Professional		$2,219.81	$2,219.81	$2,219.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.96 / $1,794.96 / $7,227.90	Facility		$1,794.96	$1,794.96	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.44 / $2,643.44 / $6,194.34	Professional		$1,496.44	$2,643.44	$6,194.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,685.43 / $4,241.52	Facility		$319.00	$1,685.43	$4,241.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,853.97 / $2,111.11 / $3,261.26	Professional		$1,853.97	$2,111.11	$3,261.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,030.96 / $1,892.72 / $2,814.24	Professional		$1,030.96	$1,892.72	$2,814.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,794.96 / $7,227.90	Facility		$555.00	$1,794.96	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,596.44 / $2,592.48 / $5,896.79	Professional		$1,596.44	$2,592.48	$5,896.79
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 $1,386.37 / $1,996.92 / $4,779.31	Professional		$1,386.37	$1,996.92	$4,779.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,010.17 / $2,010.17 / $5,019.89	Facility		$2,010.17	$2,010.17	$5,019.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,030.96 / $2,010.17 / $3,283.33	Professional		$1,030.96	$2,010.17	$3,283.33