Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,672.85 / $3,996.00 / $10,296.00	Facility		$1,672.85	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,234.57 / $1,672.85 / $2,794.14	Professional		$1,234.57	$1,672.85	$2,794.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $7,631.00 / $14,193.00	Facility		$4,574.00	$7,631.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,154.35 / $1,508.98 / $3,428.40	Professional		$1,154.35	$1,508.98	$3,428.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,000.09 / $2,000.09 / $37,499.62	Facility		$2,000.09	$2,000.09	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,000.09 / $2,000.09 / $2,000.09	Professional		$2,000.09	$2,000.09	$2,000.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,623.77 / $1,623.77 / $7,227.90	Facility		$1,623.77	$1,623.77	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,359.51 / $2,385.46 / $5,089.62	Professional		$1,359.51	$2,385.46	$5,089.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,190.00 / $3,720.02	Facility		$319.00	$2,190.00	$3,720.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,653.34 / $1,926.72 / $2,883.43	Professional		$1,653.34	$1,926.72	$2,883.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,161.68 / $1,630.48 / $2,610.36	Professional		$1,161.68	$1,630.48	$2,610.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,623.77 / $7,227.90	Facility		$555.00	$1,623.77	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,469.33 / $2,385.46 / $5,089.62	Professional		$1,469.33	$2,385.46	$5,089.62
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 $1,400.29 / $1,881.48 / $3,642.61	Professional		$1,400.29	$1,881.48	$3,642.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,630.48 / $1,630.48 / $4,480.83	Facility		$1,630.48	$1,630.48	$4,480.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,164.85 / $1,727.41 / $3,013.57	Professional		$1,164.85	$1,727.41	$3,013.57