Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.77 / $6,962.00 / $16,300.00	Facility		$2,236.77	$6,962.00	$16,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.43 / $2,083.54 / $2,395.44	Professional		$1,148.43	$2,083.54	$2,395.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,040.00 / $10,294.00 / $19,351.80	Facility		$5,040.00	$10,294.00	$19,351.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.82 / $1,246.97 / $2,032.29	Professional		$1,014.82	$1,246.97	$2,032.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,548.44 / $2,548.44 / $2,548.44	Facility		$2,548.44	$2,548.44	$2,548.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,548.44 / $2,548.44 / $2,548.44	Professional		$2,548.44	$2,548.44	$2,548.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $21,417.00 / $59,610.00	Facility		$7,227.90	$21,417.00	$59,610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,251.40 / $7,251.40 / $7,251.40	Professional		$7,251.40	$7,251.40	$7,251.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $1,612.14 / $3,781.55	Facility		$294.00	$1,612.14	$3,781.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,648.45 / $2,119.42 / $2,907.59	Professional		$1,648.45	$2,119.42	$2,907.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,240.10 / $1,860.16 / $2,405.82	Professional		$1,240.10	$1,860.16	$2,405.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,730.11 / $18,211.00 / $32,297.00	Facility		$1,730.11	$18,211.00	$32,297.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7,251.40 / $7,251.40 / $7,251.40	Professional		$7,251.40	$7,251.40	$7,251.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,569.95 / $2,310.89 / $5,407.80	Professional		$1,569.95	$2,310.89	$5,407.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,240.10 / $1,240.10 / $1,824.60	Facility		$1,240.10	$1,240.10	$1,824.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,240.10 / $1,824.60 / $2,601.57	Professional		$1,240.10	$1,824.60	$2,601.57