Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,859.37 / $4,792.00 / $10,526.00	Facility		$1,859.37	$4,792.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,837.44 / $2,379.89 / $3,840.04	Professional		$1,837.44	$2,379.89	$3,840.04
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 $1,753.73 / $2,223.67 / $4,866.25	Professional		$1,753.73	$2,223.67	$4,866.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,790.58 / $2,790.58 / $13,477.50	Facility		$2,790.58	$2,790.58	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,790.58 / $2,790.58 / $2,790.58	Professional		$2,790.58	$2,790.58	$2,790.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,219.69 / $2,219.69 / $7,227.90	Facility		$2,219.69	$2,219.69	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,523.42 / $3,431.23 / $7,113.03	Professional		$1,523.42	$3,431.23	$7,113.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,287.03 / $5,507.20	Facility		$319.00	$3,287.03	$5,507.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,254.75 / $2,647.89 / $3,962.70	Professional		$2,254.75	$2,647.89	$3,962.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,512.04 / $2,094.44 / $3,599.69	Professional		$1,512.04	$2,094.44	$3,599.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,219.69 / $7,227.90	Facility		$555.00	$2,219.69	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,708.61 / $3,359.58 / $7,182.71	Professional		$1,708.61	$3,359.58	$7,182.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,736.00 / $5,547.00 / $12,361.00	Facility		$2,736.00	$5,547.00	$12,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.70 / $2,361.01 / $5,786.91	Professional		$1,127.70	$2,361.01	$5,786.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,094.44 / $2,094.44 / $6,524.05	Facility		$2,094.44	$2,094.44	$6,524.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,512.04 / $2,285.84 / $4,636.25	Professional		$1,512.04	$2,285.84	$4,636.25