Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.59 / $4,792.00 / $10,686.00	Facility		$1,992.59	$4,792.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,992.59 / $2,753.50 / $7,340.62	Professional		$1,992.59	$2,753.50	$7,340.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.00 / $9,974.00 / $17,122.00	Facility		$4,793.00	$9,974.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,178.19 / $2,704.94 / $5,334.48	Professional		$2,178.19	$2,704.94	$5,334.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,972.44 / $2,972.44 / $37,499.62	Facility		$2,972.44	$2,972.44	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,972.44 / $2,972.44 / $2,972.44	Professional		$2,972.44	$2,972.44	$2,972.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,459.02 / $2,459.02 / $7,227.90	Facility		$2,459.02	$2,459.02	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,043.03 / $3,584.95 / $10,898.74	Professional		$2,043.03	$3,584.95	$10,898.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,552.52 / $6,085.31	Facility		$319.00	$3,552.52	$6,085.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,587.92 / $2,861.75 / $4,678.92	Professional		$2,587.92	$2,861.75	$4,678.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,592.11 / $2,453.23 / $3,900.14	Professional		$1,592.11	$2,453.23	$3,900.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,459.02 / $7,227.90	Facility		$555.00	$2,459.02	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,121.12 / $3,920.73 / $10,319.49	Professional		$2,121.12	$3,920.73	$10,319.49
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 $2,153.11 / $3,182.74 / $6,913.59	Professional		$2,153.11	$3,182.74	$6,913.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,453.23 / $2,453.23 / $8,429.46	Facility		$2,453.23	$2,453.23	$8,429.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,592.11 / $2,626.98 / $5,031.78	Professional		$1,592.11	$2,626.98	$5,031.78