Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,043.00 / $10,296.00	Facility		$1,819.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,442.82 / $2,208.40 / $4,407.25	Professional		$1,442.82	$2,208.40	$4,407.25
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 $1,470.14 / $1,921.76 / $4,356.52	Professional		$1,470.14	$1,921.76	$4,356.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,538.71 / $2,538.71 / $37,499.62	Facility		$2,538.71	$2,538.71	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,538.71 / $2,538.71 / $2,538.71	Professional		$2,538.71	$2,538.71	$2,538.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,042.54 / $2,042.54 / $7,227.90	Facility		$2,042.54	$2,042.54	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,554.26 / $3,157.33 / $6,998.76	Professional		$1,554.26	$3,157.33	$6,998.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,017.41 / $4,889.60	Facility		$319.00	$3,017.41	$4,889.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,032.17 / $2,430.69 / $3,637.66	Professional		$2,032.17	$2,430.69	$3,637.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.88 / $2,179.25 / $3,240.34	Professional		$1,393.88	$2,179.25	$3,240.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,042.54 / $7,227.90	Facility		$555.00	$2,042.54	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,851.03 / $3,027.93 / $6,492.74	Professional		$1,851.03	$3,027.93	$6,492.74
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 $1,464.10 / $2,259.91 / $5,876.02	Professional		$1,464.10	$2,259.91	$5,876.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,314.53 / $2,314.53 / $6,250.77	Facility		$2,314.53	$2,314.53	$6,250.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,393.88 / $2,314.53 / $3,780.45	Professional		$1,393.88	$2,314.53	$3,780.45