Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.00 / $5,989.00 / $12,667.00	Facility		$1,837.00	$5,989.00	$12,667.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,547.36 / $1,687.76 / $4,404.71	Professional		$1,547.36	$1,687.76	$4,404.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.13 / $3,158.35 / $5,106.41	Professional		$1,862.13	$3,158.35	$5,106.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,102.92 / $3,102.92 / $37,499.62	Facility		$3,102.92	$3,102.92	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,102.92 / $3,102.92 / $3,102.92	Professional		$3,102.92	$3,102.92	$3,102.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,432.65 / $2,432.65 / $2,432.65	Facility		$2,432.65	$2,432.65	$2,432.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,127.93 / $10,127.93 / $10,127.93	Professional		$10,127.93	$10,127.93	$10,127.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,868.16 / $1,868.16 / $1,868.16	Professional		$1,868.16	$1,868.16	$1,868.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,997.85 / $1,997.85 / $1,997.85	Facility		$1,997.85	$1,997.85	$1,997.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,349.98 / $2,875.52 / $4,533.68	Professional		$1,349.98	$2,875.52	$4,533.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,432.65	Facility		$555.00	$597.00	$2,432.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10,127.93 / $10,127.93 / $10,127.93	Professional		$10,127.93	$10,127.93	$10,127.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,514.59 / $2,701.33 / $7,257.71	Professional		$1,514.59	$2,701.33	$7,257.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,502.95 / $2,056.07 / $2,056.07	Facility		$1,502.95	$2,056.07	$2,056.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,997.85 / $2,056.07 / $4,533.68	Professional		$1,997.85	$2,056.07	$4,533.68