Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $4,392.00 / $10,296.00	Facility		$1,821.00	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,708.72 / $2,565.56 / $4,017.43	Professional		$1,708.72	$2,565.56	$4,017.43
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 $1,722.24 / $2,251.30 / $5,097.54	Professional		$1,722.24	$2,251.30	$5,097.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,972.91 / $2,972.91 / $37,499.62	Facility		$2,972.91	$2,972.91	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,972.91 / $2,972.91 / $2,972.91	Professional		$2,972.91	$2,972.91	$2,972.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,390.84 / $2,390.84 / $7,227.90	Facility		$2,390.84	$2,390.84	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,822.18 / $3,659.19 / $8,194.25	Professional		$1,822.18	$3,659.19	$8,194.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,025.00 / $5,348.66	Facility		$319.00	$2,025.00	$5,348.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,377.17 / $2,844.54 / $4,257.00	Professional		$2,377.17	$2,844.54	$4,257.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,632.64 / $2,550.28 / $3,792.20	Professional		$1,632.64	$2,550.28	$3,792.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,390.84 / $7,227.90	Facility		$555.00	$2,390.84	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,167.96 / $3,542.00 / $7,603.76	Professional		$2,167.96	$3,542.00	$7,603.76
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 $1,837.42 / $2,644.86 / $7,258.73	Professional		$1,837.42	$2,644.86	$7,258.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,708.71 / $2,708.71 / $7,318.29	Facility		$2,708.71	$2,708.71	$7,318.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,632.64 / $2,708.71 / $4,424.30	Professional		$1,632.64	$2,708.71	$4,424.30