Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,960.00 / $12,051.00	Facility		$1,819.00	$5,960.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,303.58 / $2,319.01 / $2,925.47	Professional		$1,303.58	$2,319.01	$2,925.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.02 / $752.92 / $1,698.07	Professional		$628.02	$752.92	$1,698.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,022.13 / $2,022.13 / $16,534.50	Facility		$2,022.13	$2,022.13	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,022.13 / $2,022.13 / $2,022.13	Professional		$2,022.13	$2,022.13	$2,022.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,200.19 / $2,200.19 / $2,200.19	Facility		$2,200.19	$2,200.19	$2,200.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,250.15 / $9,162.82 / $9,162.82	Professional		$2,250.15	$9,162.82	$9,162.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,385.03 / $5,233.46	Facility		$319.00	$2,385.03	$5,233.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,293.01 / $3,069.93 / $4,489.14	Professional		$2,293.01	$3,069.93	$4,489.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,834.64 / $1,834.64 / $1,834.64	Facility		$1,834.64	$1,834.64	$1,834.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $762.94 / $2,568.50 / $4,045.44	Professional		$762.94	$2,568.50	$4,045.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,200.19	Facility		$555.00	$597.00	$2,200.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,250.15 / $9,162.82 / $9,162.82	Professional		$2,250.15	$9,162.82	$9,162.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.03 / $1,902.18 / $4,363.55	Professional		$650.03	$1,902.18	$4,363.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $849.39 / $1,834.64 / $1,834.64	Facility		$849.39	$1,834.64	$1,834.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,834.64 / $1,834.64 / $4,045.44	Professional		$1,834.64	$1,834.64	$4,045.44