Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,996.00 / $10,296.00	Facility		$1,819.00	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,330.52 / $2,021.09 / $3,142.62	Professional		$1,330.52	$2,021.09	$3,142.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,221.66 / $11,909.00	Facility		$3,283.00	$5,221.66	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,345.49 / $1,758.82 / $3,985.84	Professional		$1,345.49	$1,758.82	$3,985.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,332.86 / $2,332.86 / $37,499.62	Facility		$2,332.86	$2,332.86	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,332.86 / $2,332.86 / $2,332.86	Professional		$2,332.86	$2,332.86	$2,332.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,867.42 / $1,867.42 / $7,227.90	Facility		$1,867.42	$1,867.42	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,422.24 / $2,874.36 / $6,438.17	Professional		$1,422.24	$2,874.36	$6,438.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,760.53 / $4,462.39	Facility		$319.00	$2,760.53	$4,462.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,859.54 / $2,223.76 / $3,327.98	Professional		$1,859.54	$2,223.76	$3,327.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.95 / $1,993.72 / $2,963.96	Professional		$1,275.95	$1,993.72	$2,963.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,867.42 / $7,227.90	Facility		$555.00	$1,867.42	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,699.71 / $2,770.71 / $5,997.02	Professional		$1,699.71	$2,770.71	$5,997.02
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 $1,339.72 / $1,992.25 / $5,141.91	Professional		$1,339.72	$1,992.25	$5,141.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,117.11 / $2,117.11 / $5,737.59	Facility		$2,117.11	$2,117.11	$5,737.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,275.95 / $2,117.11 / $3,458.00	Professional		$1,275.95	$2,117.11	$3,458.00