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 $1,288.46 / $2,029.04 / $3,128.98	Professional		$1,288.46	$2,029.04	$3,128.98
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 $1,339.02 / $1,750.36 / $3,951.42	Professional		$1,339.02	$1,750.36	$3,951.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,312.88 / $2,312.88 / $37,499.62	Facility		$2,312.88	$2,312.88	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,312.88 / $2,312.88 / $2,312.88	Professional		$2,312.88	$2,312.88	$2,312.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,860.66 / $1,860.66 / $7,227.90	Facility		$1,860.66	$1,860.66	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,417.59 / $2,857.82 / $6,377.82	Professional		$1,417.59	$2,857.82	$6,377.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,748.87 / $4,654.39	Facility		$319.00	$2,748.87	$4,654.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,851.47 / $2,214.37 / $3,313.92	Professional		$1,851.47	$2,214.37	$3,313.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,242.75 / $1,985.29 / $2,952.55	Professional		$1,242.75	$1,985.29	$2,952.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,860.66 / $7,227.90	Facility		$555.00	$1,860.66	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,569.00 / $2,758.69 / $5,911.16	Professional		$1,569.00	$2,758.69	$5,911.16
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 $1,431.08 / $2,058.14 / $6,007.15	Professional		$1,431.08	$2,058.14	$6,007.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,108.96 / $2,108.96 / $5,650.65	Facility		$2,108.96	$2,108.96	$5,650.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,242.75 / $2,108.96 / $3,444.69	Professional		$1,242.75	$2,108.96	$3,444.69