Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,996.00 / $10,296.00	Facility		$1,819.00	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,444.93 / $2,174.75 / $3,598.41	Professional		$1,444.93	$2,174.75	$3,598.41
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 $1,344.93 / $1,758.08 / $4,118.58	Professional		$1,344.93	$1,758.08	$4,118.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,355.21 / $2,355.21 / $37,499.62	Facility		$2,355.21	$2,355.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,355.21 / $2,355.21 / $2,355.21	Professional		$2,355.21	$2,355.21	$2,355.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,895.60 / $1,895.60 / $7,227.90	Facility		$1,895.60	$1,895.60	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,592.20 / $2,972.61 / $6,018.37	Professional		$1,592.20	$2,972.61	$6,018.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,749.00 / $4,398.39	Facility		$319.00	$2,749.00	$4,398.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,915.40 / $2,233.52 / $3,342.58	Professional		$1,915.40	$2,233.52	$3,342.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,359.81 / $1,609.75 / $3,031.96	Professional		$1,359.81	$1,609.75	$3,031.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,895.60 / $7,227.90	Facility		$555.00	$1,895.60	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,751.22 / $2,887.84 / $6,018.37	Professional		$1,751.22	$2,887.84	$6,018.37
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 $1,641.09 / $2,416.58 / $4,995.64	Professional		$1,641.09	$2,416.58	$4,995.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,893.82 / $1,893.82 / $4,849.74	Facility		$1,893.82	$1,893.82	$4,849.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,419.66 / $2,002.47 / $3,500.29	Professional		$1,419.66	$2,002.47	$3,500.29