Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,043.00 / $10,296.00	Facility		$1,819.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,567.03 / $2,357.61 / $4,656.68	Professional		$1,567.03	$2,357.61	$4,656.68
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 $1,359.13 / $1,751.46 / $4,407.97	Professional		$1,359.13	$1,751.46	$4,407.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,550.29 / $2,550.29 / $37,499.62	Facility		$2,550.29	$2,550.29	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,550.29 / $2,550.29 / $2,550.29	Professional		$2,550.29	$2,550.29	$2,550.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,095.19 / $2,095.19 / $7,227.90	Facility		$2,095.19	$2,095.19	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.66 / $3,042.26 / $6,882.97	Professional		$1,737.66	$3,042.26	$6,882.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,550.00 / $4,984.29	Facility		$319.00	$2,550.00	$4,984.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,155.48 / $2,429.96 / $3,832.37	Professional		$2,155.48	$2,429.96	$3,832.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,469.73 / $2,062.85 / $3,302.57	Professional		$1,469.73	$2,062.85	$3,302.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,095.19 / $7,227.90	Facility		$555.00	$2,095.19	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,836.84 / $3,110.06 / $6,717.43	Professional		$1,836.84	$3,110.06	$6,717.43
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 $1,760.49 / $2,537.03 / $5,157.05	Professional		$1,760.49	$2,537.03	$5,157.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,062.85 / $2,062.85 / $5,712.38	Facility		$2,062.85	$2,062.85	$5,712.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,507.14 / $2,178.60 / $3,812.71	Professional		$1,507.14	$2,178.60	$3,812.71