Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,771.40 / $5,960.00 / $12,051.00	Facility		$1,771.40	$5,960.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.58 / $1,397.85 / $2,261.06	Professional		$663.58	$1,397.85	$2,261.06
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 $839.62 / $1,006.60 / $2,114.88	Professional		$839.62	$1,006.60	$2,114.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,880.37 / $2,880.37 / $16,534.50	Facility		$2,880.37	$2,880.37	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,880.37 / $2,880.37 / $2,880.37	Professional		$2,880.37	$2,880.37	$2,880.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,248.48 / $2,248.48 / $2,248.48	Facility		$2,248.48	$2,248.48	$2,248.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,250.15 / $9,360.83 / $9,360.83	Professional		$2,250.15	$9,360.83	$9,360.83
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 / $3,082.20 / $4,489.14	Professional		$2,293.01	$3,082.20	$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 $1,050.30 / $2,568.50 / $4,045.44	Professional		$1,050.30	$2,568.50	$4,045.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,248.48	Facility		$555.00	$597.00	$2,248.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,250.15 / $9,360.83 / $9,360.83	Professional		$2,250.15	$9,360.83	$9,360.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,380.00 / $4,893.00 / $10,617.00	Facility		$2,380.00	$4,893.00	$10,617.00
United Facility/Professional Professional Modifier Low / Median / High Price $951.93 / $2,497.42 / $6,327.27	Professional		$951.93	$2,497.42	$6,327.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,169.30 / $1,834.64 / $1,834.64	Facility		$1,169.30	$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