Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,043.00 / $9,661.00	Facility		$1,508.00	$4,043.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $358.91 / $1,146.95	Professional		$224.97	$358.91	$1,146.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,051.00 / $9,301.00 / $15,887.00	Facility		$4,051.00	$9,301.00	$15,887.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.63 / $329.87 / $520.86	Professional		$265.63	$329.87	$520.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37,499.62 / $37,499.62 / $37,499.62	Facility		$37,499.62	$37,499.62	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,613.67 / $1,613.67 / $1,613.67	Facility		$1,613.67	$1,613.67	$1,613.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,763.38 / $6,763.38 / $6,763.38	Professional		$6,763.38	$6,763.38	$6,763.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29,968.00 / $29,968.00 / $43,411.00	Facility		$29,968.00	$29,968.00	$43,411.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $880.62 / $880.62 / $880.62	Professional		$880.62	$880.62	$880.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,334.10 / $1,334.10 / $1,334.10	Facility		$1,334.10	$1,334.10	$1,334.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,159.66 / $2,001.15 / $2,697.40	Professional		$1,159.66	$2,001.15	$2,697.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,613.67	Facility		$555.00	$597.00	$1,613.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6,763.38 / $6,763.38 / $6,763.38	Professional		$6,763.38	$6,763.38	$6,763.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,603.00	Facility		$1,749.00	$4,194.00	$9,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $959.32 / $1,452.30 / $4,015.41	Professional		$959.32	$1,452.30	$4,015.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,159.66 / $1,159.66 / $1,334.10	Facility		$1,159.66	$1,159.66	$1,334.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,159.66 / $1,159.66 / $2,697.40	Professional		$1,159.66	$1,159.66	$2,697.40