Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,392.00 / $10,296.00	Facility		$1,819.00	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,727.25 / $1,963.71 / $3,646.69	Professional		$1,727.25	$1,963.71	$3,646.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,268.00 / $12,869.00	Facility		$4,100.00	$7,268.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,358.44 / $1,775.74 / $4,083.65	Professional		$1,358.44	$1,775.74	$4,083.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,297.15 / $2,297.15 / $37,499.62	Facility		$2,297.15	$2,297.15	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,297.15 / $2,297.15 / $2,297.15	Professional		$2,297.15	$2,297.15	$2,297.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,861.21 / $1,861.21 / $7,227.90	Facility		$1,861.21	$1,861.21	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,397.27 / $3,026.99 / $6,327.72	Professional		$1,397.27	$3,026.99	$6,327.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,295.00 / $4,315.03	Facility		$319.00	$2,295.00	$4,315.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,879.72 / $2,147.98 / $3,317.78	Professional		$1,879.72	$2,147.98	$3,317.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.60 / $1,701.64 / $2,939.74	Professional		$1,380.60	$1,701.64	$2,939.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,861.21 / $7,227.90	Facility		$555.00	$1,861.21	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,673.61 / $2,989.55 / $6,442.62	Professional		$1,673.61	$2,989.55	$6,442.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,988.00 / $8,133.00	Facility		$1,479.00	$3,988.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.20 / $2,172.40 / $5,043.04	Professional		$1,479.20	$2,172.40	$5,043.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,701.64 / $1,701.64 / $5,328.69	Facility		$1,701.64	$1,701.64	$5,328.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,446.39 / $1,864.64 / $3,358.66	Professional		$1,446.39	$1,864.64	$3,358.66