Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,640.82 / $10,674.00	Facility		$2,220.00	$4,640.82	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,228.84 / $2,610.76 / $5,539.39	Professional		$2,228.84	$2,610.76	$5,539.39
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 $1,951.60 / $2,551.12 / $6,239.32	Professional		$1,951.60	$2,551.12	$6,239.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,475.65 / $3,475.65 / $37,499.62	Facility		$3,475.65	$3,475.65	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,475.65 / $3,475.65 / $3,475.65	Professional		$3,475.65	$3,475.65	$3,475.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,764.30 / $2,764.30 / $2,764.30	Facility		$2,764.30	$2,764.30	$2,764.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,392.66 / $3,866.99 / $9,367.48	Professional		$2,392.66	$3,866.99	$9,367.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,962.00 / $6,339.20	Facility		$332.00	$3,962.00	$6,339.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,646.34 / $3,690.14 / $5,432.76	Professional		$2,646.34	$3,690.14	$5,432.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,272.51 / $2,272.51 / $2,272.51	Facility		$2,272.51	$2,272.51	$2,272.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,021.39 / $3,181.51 / $5,134.02	Professional		$2,021.39	$3,181.51	$5,134.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,764.30	Facility		$555.00	$597.00	$2,764.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,553.71 / $3,750.59 / $9,253.17	Professional		$2,553.71	$3,750.59	$9,253.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,203.52 / $3,104.83 / $7,875.27	Professional		$2,203.52	$3,104.83	$7,875.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,097.84 / $4,097.84 / $9,784.12	Facility		$4,097.84	$4,097.84	$9,784.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,151.67 / $3,409.22 / $6,152.12	Professional		$2,151.67	$3,409.22	$6,152.12