Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $4,792.00 / $10,686.00	Facility		$1,817.98	$4,792.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,587.90 / $2,022.13 / $5,776.67	Professional		$1,587.90	$2,022.13	$5,776.67
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 $1,321.30 / $1,727.19 / $4,218.64	Professional		$1,321.30	$1,727.19	$4,218.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,218.46 / $2,218.46 / $37,499.62	Facility		$2,218.46	$2,218.46	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,218.46 / $2,218.46 / $2,218.46	Professional		$2,218.46	$2,218.46	$2,218.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,835.08 / $1,835.08 / $7,227.90	Facility		$1,835.08	$1,835.08	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.35 / $2,727.03 / $8,384.49	Professional		$1,576.35	$2,727.03	$8,384.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,700.00 / $4,987.20	Facility		$319.00	$2,700.00	$4,987.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,936.32 / $2,143.14 / $3,493.49	Professional		$1,936.32	$2,143.14	$3,493.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,285.96 / $1,836.65 / $2,919.88	Professional		$1,285.96	$1,836.65	$2,919.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,835.08 / $7,227.90	Facility		$555.00	$1,835.08	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,618.23 / $3,008.85 / $8,118.59	Professional		$1,618.23	$3,008.85	$8,118.59
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 $1,613.27 / $2,245.85 / $5,114.24	Professional		$1,613.27	$2,245.85	$5,114.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,836.65 / $1,836.65 / $6,652.23	Facility		$1,836.65	$1,836.65	$6,652.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,292.69 / $1,966.72 / $3,767.10	Professional		$1,292.69	$1,966.72	$3,767.10