Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,996.00 / $10,296.00	Facility		$1,819.00	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,650.16 / $1,943.29 / $3,458.11	Professional		$1,650.16	$1,943.29	$3,458.11
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 $1,499.00 / $1,959.48 / $4,624.24	Professional		$1,499.00	$1,959.48	$4,624.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,564.76 / $2,564.76 / $37,499.62	Facility		$2,564.76	$2,564.76	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,564.76 / $2,564.76 / $2,564.76	Professional		$2,564.76	$2,564.76	$2,564.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,057.66 / $2,057.66 / $2,057.66	Facility		$2,057.66	$2,057.66	$2,057.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,831.02 / $3,003.57 / $7,042.38	Professional		$1,831.02	$3,003.57	$7,042.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,977.00 / $4,830.39	Facility		$332.00	$2,977.00	$4,830.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,975.41 / $2,803.03 / $4,143.39	Professional		$1,975.41	$2,803.03	$4,143.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,696.36 / $1,696.36 / $1,696.36	Facility		$1,696.36	$1,696.36	$1,696.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.05 / $1,877.97 / $3,819.13	Professional		$1,500.05	$1,877.97	$3,819.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,057.66	Facility		$555.00	$597.00	$2,057.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,899.76 / $2,868.36 / $6,558.68	Professional		$1,899.76	$2,868.36	$6,558.68
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 $1,694.82 / $2,476.94 / $5,654.64	Professional		$1,694.82	$2,476.94	$5,654.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,165.01 / $2,165.01 / $11,628.41	Facility		$2,165.01	$2,165.01	$11,628.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,696.36 / $2,364.05 / $4,576.49	Professional		$1,696.36	$2,364.05	$4,576.49