Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,994.28 / $4,792.00 / $10,686.00	Facility		$1,994.28	$4,792.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,994.28 / $2,632.28 / $7,584.53	Professional		$1,994.28	$2,632.28	$7,584.53
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 $1,724.21 / $2,253.88 / $5,505.12	Professional		$1,724.21	$2,253.88	$5,505.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,902.31 / $2,902.31 / $37,499.62	Facility		$2,902.31	$2,902.31	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,902.31 / $2,902.31 / $2,902.31	Professional		$2,902.31	$2,902.31	$2,902.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.06 / $2,400.06 / $7,227.90	Facility		$2,400.06	$2,400.06	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,007.71 / $3,545.84 / $10,695.01	Professional		$2,007.71	$3,545.84	$10,695.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,302.79 / $5,942.68	Facility		$319.00	$2,302.79	$5,942.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,533.07 / $3,222.25 / $11,568.41	Professional		$2,533.07	$3,222.25	$11,568.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,625.40 / $2,402.94 / $3,820.17	Professional		$1,625.40	$2,402.94	$3,820.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,400.06 / $7,227.90	Facility		$555.00	$2,400.06	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,063.78 / $3,935.37 / $10,416.87	Professional		$2,063.78	$3,935.37	$10,416.87
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 $2,116.51 / $2,992.63 / $7,079.01	Professional		$2,116.51	$2,992.63	$7,079.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,402.94 / $2,402.94 / $8,349.70	Facility		$2,402.94	$2,402.94	$8,349.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,625.40 / $2,573.11 / $4,928.60	Professional		$1,625.40	$2,573.11	$4,928.60