Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,815.38 / $3,996.00 / $10,296.00	Facility		$1,815.38	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,316.97 / $1,940.75 / $2,992.25	Professional		$1,316.97	$1,940.75	$2,992.25
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 $1,246.45 / $1,629.35 / $3,722.26	Professional		$1,246.45	$1,629.35	$3,722.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,114.46 / $2,114.46 / $37,499.62	Facility		$2,114.46	$2,114.46	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,114.46 / $2,114.46 / $2,114.46	Professional		$2,114.46	$2,114.46	$2,114.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,734.54 / $1,734.54 / $7,227.90	Facility		$1,734.54	$1,734.54	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.14 / $2,524.31 / $5,381.92	Professional		$1,453.14	$2,524.31	$5,381.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,005.00 / $3,983.76	Facility		$319.00	$2,005.00	$3,983.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,770.56 / $2,061.77 / $3,085.54	Professional		$1,770.56	$2,061.77	$3,085.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,241.66 / $1,742.74 / $2,790.08	Professional		$1,241.66	$1,742.74	$2,790.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,734.54 / $7,227.90	Facility		$555.00	$1,734.54	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,567.92 / $2,528.60 / $5,381.92	Professional		$1,567.92	$2,528.60	$5,381.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,964.00 / $7,719.00 / $16,692.00	Facility		$2,964.00	$7,719.00	$16,692.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,411.30 / $2,046.94 / $4,233.10	Professional		$1,411.30	$2,046.94	$4,233.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,742.74 / $1,742.74 / $4,571.14	Facility		$1,742.74	$1,742.74	$4,571.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,248.74 / $1,848.49 / $3,221.06	Professional		$1,248.74	$1,848.49	$3,221.06