Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,849.29 / $3,996.00 / $10,296.00	Facility		$1,849.29	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,860.88 / $2,201.35 / $3,920.76	Professional		$1,860.88	$2,201.35	$3,920.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,017.00 / $17,122.00	Facility		$4,760.00	$10,017.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,702.53 / $2,225.53 / $5,185.39	Professional		$1,702.53	$2,225.53	$5,185.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,900.96 / $2,900.96 / $37,499.62	Facility		$2,900.96	$2,900.96	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,900.96 / $2,900.96 / $2,900.96	Professional		$2,900.96	$2,900.96	$2,900.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.54 / $2,326.54 / $2,326.54	Facility		$2,326.54	$2,326.54	$2,326.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,057.76 / $3,333.77 / $7,970.76	Professional		$2,057.76	$3,333.77	$7,970.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,220.00 / $5,447.00	Facility		$332.00	$3,220.00	$5,447.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,227.94 / $3,160.51 / $4,672.32	Professional		$2,227.94	$3,160.51	$4,672.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,913.22 / $1,913.22 / $1,913.22	Facility		$1,913.22	$1,913.22	$1,913.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,707.54 / $2,442.91 / $4,309.34	Professional		$1,707.54	$2,442.91	$4,309.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,326.54	Facility		$555.00	$597.00	$2,326.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,148.52 / $3,374.53 / $7,532.34	Professional		$2,148.52	$3,374.53	$7,532.34
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 $1,840.25 / $2,723.46 / $6,360.24	Professional		$1,840.25	$2,723.46	$6,360.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,442.91 / $2,442.91 / $12,602.70	Facility		$2,442.91	$2,442.91	$12,602.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,952.06 / $2,666.26 / $5,163.91	Professional		$1,952.06	$2,666.26	$5,163.91