Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,860.24 / $10,296.00	Facility		$2,220.00	$4,860.24	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.03 / $2,834.83 / $5,184.20	Professional		$2,429.03	$2,834.83	$5,184.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,037.00 / $19,299.00	Facility		$4,760.00	$10,037.00	$19,299.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,267.85 / $2,875.58 / $5,760.68	Professional		$2,267.85	$2,875.58	$5,760.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,867.69 / $3,867.69 / $37,499.62	Facility		$3,867.69	$3,867.69	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,867.69 / $3,867.69 / $3,867.69	Professional		$3,867.69	$3,867.69	$3,867.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.70 / $3,101.70 / $3,101.70	Facility		$3,101.70	$3,101.70	$3,101.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.66 / $4,031.36 / $10,331.17	Professional		$2,698.66	$4,031.36	$10,331.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,947.00 / $7,259.69	Facility		$332.00	$2,947.00	$7,259.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,969.58 / $4,100.26 / $6,227.20	Professional		$2,969.58	$4,100.26	$6,227.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,550.09 / $2,550.09 / $2,550.09	Facility		$2,550.09	$2,550.09	$2,550.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,027.36 / $3,251.79 / $5,744.83	Professional		$2,027.36	$3,251.79	$5,744.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $3,101.70	Facility		$555.00	$597.00	$3,101.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,752.20 / $4,045.79 / $9,467.51	Professional		$2,752.20	$4,045.79	$9,467.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $18,532.00	Facility		$2,673.00	$7,719.00	$18,532.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,449.38 / $3,463.11 / $9,019.66	Professional		$2,449.38	$3,463.11	$9,019.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,256.66 / $3,256.66 / $11,729.85	Facility		$3,256.66	$3,256.66	$11,729.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,094.88 / $3,386.93 / $6,884.06	Professional		$2,094.88	$3,386.93	$6,884.06