Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.19 / $4,478.76 / $8,038.80	Facility		$2,318.19	$4,478.76	$8,038.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.09 / $2,239.38 / $3,961.98	Professional		$1,159.09	$2,239.38	$3,961.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,871.00 / $2,871.00 / $7,464.60	Facility		$2,871.00	$2,871.00	$7,464.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $4,335.21	Professional		$1,148.40	$1,148.40	$4,335.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,722.60 / $2,871.00 / $2,871.00	Facility		$1,722.60	$2,871.00	$2,871.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,095.83 / $2,871.00 / $2,871.00	Professional		$2,095.83	$2,871.00	$2,871.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,511.15 / $6,064.99 / $7,663.82	Facility		$3,511.15	$6,064.99	$7,663.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,729.76 / $3,885.45 / $9,316.29	Professional		$1,729.76	$3,885.45	$9,316.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $903.68 / $6,459.75	Facility		$332.00	$903.68	$6,459.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,009.70 / $2,995.31 / $5,253.93	Professional		$2,009.70	$2,995.31	$5,253.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.26 / $119.26 / $119.26	Facility		$119.26	$119.26	$119.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.26 / $2,440.35 / $3,379.16	Professional		$119.26	$2,440.35	$3,379.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $6,064.99 / $7,663.82	Facility		$254.50	$6,064.99	$7,663.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,722.65 / $2,905.74 / $8,613.00	Professional		$1,722.65	$2,905.74	$8,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.82 / $1,647.41 / $4,351.22	Professional		$1,205.82	$1,647.41	$4,351.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,855.63 / $3,043.26 / $3,043.26	Facility		$2,855.63	$3,043.26	$3,043.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $152.32 / $2,871.00 / $3,379.16	Professional		$152.32	$2,871.00	$3,379.16