Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,755.58 / $3,996.00 / $10,296.00	Facility		$1,755.58	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,527.83 / $1,949.28 / $2,884.46	Professional		$1,527.83	$1,949.28	$2,884.46
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 $1,233.51 / $1,612.44 / $3,658.85	Professional		$1,233.51	$1,612.44	$3,658.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,129.64 / $2,129.64 / $37,499.62	Facility		$2,129.64	$2,129.64	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,129.64 / $2,129.64 / $2,129.64	Professional		$2,129.64	$2,129.64	$2,129.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,714.18 / $1,714.18 / $7,227.90	Facility		$1,714.18	$1,714.18	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.23 / $2,608.56 / $5,873.55	Professional		$1,305.23	$2,608.56	$5,873.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,700.00 / $3,840.26	Facility		$319.00	$1,700.00	$3,840.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,706.78 / $2,040.99 / $3,054.45	Professional		$1,706.78	$2,040.99	$3,054.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,223.54 / $1,700.72 / $2,742.18	Professional		$1,223.54	$1,700.72	$2,742.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,714.18 / $7,227.90	Facility		$555.00	$1,714.18	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,553.07 / $2,543.10 / $5,451.76	Professional		$1,553.07	$2,543.10	$5,451.76
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 $1,165.01 / $1,830.14 / $4,205.00	Professional		$1,165.01	$1,830.14	$4,205.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,000.85 / $2,000.85 / $5,024.43	Facility		$2,000.85	$2,000.85	$5,024.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,249.73 / $1,871.26 / $3,174.06	Professional		$1,249.73	$1,871.26	$3,174.06