Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $4,392.00 / $10,296.00	Facility		$1,817.98	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,547.42 / $1,970.20 / $3,360.72	Professional		$1,547.42	$1,970.20	$3,360.72
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 $1,321.30 / $1,727.19 / $4,038.95	Professional		$1,321.30	$1,727.19	$4,038.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,322.12 / $2,322.12 / $37,499.62	Facility		$2,322.12	$2,322.12	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,322.12 / $2,322.12 / $2,322.12	Professional		$2,322.12	$2,322.12	$2,322.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,835.83 / $1,835.83 / $7,227.90	Facility		$1,835.83	$1,835.83	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.35 / $2,905.81 / $5,943.98	Professional		$1,238.35	$2,905.81	$5,943.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,719.41 / $4,210.09	Facility		$319.00	$1,719.41	$4,210.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,871.15 / $2,194.89 / $3,284.77	Professional		$1,871.15	$2,194.89	$3,284.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,262.70 / $1,736.54 / $2,984.56	Professional		$1,262.70	$1,736.54	$2,984.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,835.83 / $7,227.90	Facility		$555.00	$1,835.83	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,441.24 / $2,829.97 / $5,927.19	Professional		$1,441.24	$2,829.97	$5,927.19
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 $936.61 / $2,000.86 / $4,574.78	Professional		$936.61	$2,000.86	$4,574.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,736.54 / $1,736.54 / $5,404.34	Facility		$1,736.54	$1,736.54	$5,404.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,262.70 / $1,894.78 / $3,843.99	Professional		$1,262.70	$1,894.78	$3,843.99