Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,114.17 / $4,737.16 / $10,674.00	Facility		$2,114.17	$4,737.16	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,114.17 / $2,759.76 / $5,323.38	Professional		$2,114.17	$2,759.76	$5,323.38
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 $2,107.40 / $2,754.78 / $5,667.55	Professional		$2,107.40	$2,754.78	$5,667.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,747.76 / $3,747.76 / $37,499.62	Facility		$3,747.76	$3,747.76	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,747.76 / $3,747.76 / $3,747.76	Professional		$3,747.76	$3,747.76	$3,747.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,011.39 / $3,011.39 / $3,011.39	Facility		$3,011.39	$3,011.39	$3,011.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,628.24 / $3,821.24 / $9,984.19	Professional		$2,628.24	$3,821.24	$9,984.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,857.18 / $7,087.34	Facility		$332.00	$2,857.18	$7,087.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,898.44 / $4,113.25 / $6,079.36	Professional		$2,898.44	$4,113.25	$6,079.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,489.00 / $2,489.00 / $2,489.00	Facility		$2,489.00	$2,489.00	$2,489.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,937.06 / $3,484.60 / $5,599.35	Professional		$1,937.06	$3,484.60	$5,599.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $3,011.39	Facility		$555.00	$597.00	$3,011.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,681.85 / $3,821.24 / $9,727.29	Professional		$2,681.85	$3,821.24	$9,727.29
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 $2,368.40 / $3,299.18 / $8,047.97	Professional		$2,368.40	$3,299.18	$8,047.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,469.26 / $4,469.26 / $12,680.56	Facility		$4,469.26	$4,469.26	$12,680.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,274.29 / $3,734.00 / $6,709.73	Professional		$2,274.29	$3,734.00	$6,709.73