Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,200.89 / $10,296.00	Facility		$1,819.00	$4,200.89	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,535.31 / $2,305.42 / $3,615.97	Professional		$1,535.31	$2,305.42	$3,615.97
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 $1,546.67 / $2,021.80 / $4,587.30	Professional		$1,546.67	$2,021.80	$4,587.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,672.16 / $2,672.16 / $37,499.62	Facility		$2,672.16	$2,672.16	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,672.16 / $2,672.16 / $2,672.16	Professional		$2,672.16	$2,672.16	$2,672.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,149.48 / $2,149.48 / $7,227.90	Facility		$2,149.48	$2,149.48	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,637.28 / $3,343.72 / $7,369.43	Professional		$1,637.28	$3,343.72	$7,369.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,800.00 / $4,814.17	Facility		$319.00	$1,800.00	$4,814.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,139.63 / $2,558.44 / $3,828.86	Professional		$2,139.63	$2,558.44	$3,828.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,467.57 / $2,293.79 / $3,411.12	Professional		$1,467.57	$2,293.79	$3,411.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,149.48 / $7,227.90	Facility		$555.00	$2,149.48	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,947.34 / $3,188.05 / $6,830.94	Professional		$1,947.34	$3,188.05	$6,830.94
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 $1,541.52 / $2,187.30 / $5,286.13	Professional		$1,541.52	$2,187.30	$5,286.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,436.51 / $2,436.51 / $6,571.86	Facility		$2,436.51	$2,436.51	$6,571.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,467.57 / $2,436.51 / $3,979.69	Professional		$1,467.57	$2,436.51	$3,979.69