Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,566.95 / $3,754.00 / $9,038.00	Facility		$1,566.95	$3,754.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.72 / $2,242.23 / $3,405.84	Professional		$1,502.72	$2,242.23	$3,405.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,425.96 / $1,864.01 / $4,257.28	Professional		$1,425.96	$1,864.01	$4,257.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,436.03 / $2,436.03 / $10,957.50	Facility		$2,436.03	$2,436.03	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,436.03 / $2,436.03 / $2,436.03	Professional		$2,436.03	$2,436.03	$2,436.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,976.84 / $1,976.84 / $7,227.90	Facility		$1,976.84	$1,976.84	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,657.72 / $2,907.41 / $6,197.14	Professional		$1,657.72	$2,907.41	$6,197.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,060.00 / $4,534.39	Facility		$319.00	$2,060.00	$4,534.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,015.29 / $2,347.48 / $3,513.12	Professional		$2,015.29	$2,347.48	$3,513.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,406.68 / $1,985.32 / $3,178.45	Professional		$1,406.68	$1,985.32	$3,178.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,976.84 / $7,227.90	Facility		$555.00	$1,976.84	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,684.01 / $2,907.41 / $6,192.30	Professional		$1,684.01	$2,907.41	$6,192.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,630.95 / $2,417.00 / $4,895.10	Professional		$1,630.95	$2,417.00	$4,895.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,985.32 / $1,985.32 / $5,326.71	Facility		$1,985.32	$1,985.32	$5,326.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,406.68 / $2,104.64 / $3,669.42	Professional		$1,406.68	$2,104.64	$3,669.42