Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,796.00 / $13,229.00	Facility		$1,819.00	$5,796.00	$13,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,424.29 / $1,905.86 / $4,038.61	Professional		$1,424.29	$1,905.86	$4,038.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,212.69 / $1,585.22 / $3,879.72	Professional		$1,212.69	$1,585.22	$3,879.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,224.82 / $3,478.50 / $13,477.50	Facility		$2,224.82	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,224.82 / $2,224.82 / $2,224.82	Professional		$2,224.82	$2,224.82	$2,224.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,749.64 / $1,749.64 / $10,297.11	Facility		$1,749.64	$1,749.64	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.33 / $2,655.73 / $5,648.29	Professional		$1,200.33	$2,655.73	$5,648.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,090.00 / $4,044.94	Facility		$332.00	$2,090.00	$4,044.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,797.75 / $2,098.69 / $3,140.81	Professional		$1,797.75	$2,098.69	$3,140.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,171.43 / $1,659.89 / $2,852.81	Professional		$1,171.43	$1,659.89	$2,852.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,749.64 / $10,297.11	Facility		$555.00	$1,749.64	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,332.89 / $2,633.14 / $5,648.29	Professional		$1,332.89	$2,633.14	$5,648.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $931.27 / $1,880.06 / $4,656.68	Professional		$931.27	$1,880.06	$4,656.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,659.89 / $1,659.89 / $5,120.47	Facility		$1,659.89	$1,659.89	$5,120.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,171.43 / $1,811.74 / $3,674.30	Professional		$1,171.43	$1,811.74	$3,674.30