Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,940.49 / $4,629.00 / $10,674.00	Facility		$1,940.49	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,784.78 / $2,073.12 / $3,422.41	Professional		$1,784.78	$2,073.12	$3,422.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,359.00 / $12,869.00	Facility		$4,079.00	$7,359.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,450.32 / $1,895.85 / $4,536.83	Professional		$1,450.32	$1,895.85	$4,536.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,557.46 / $2,557.46 / $37,499.62	Facility		$2,557.46	$2,557.46	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,557.46 / $2,557.46 / $2,557.46	Professional		$2,557.46	$2,557.46	$2,557.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,047.39 / $2,047.39 / $2,047.39	Facility		$2,047.39	$2,047.39	$2,047.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,763.49 / $2,975.37 / $6,752.51	Professional		$1,763.49	$2,975.37	$6,752.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,694.69 / $4,663.89	Facility		$332.00	$2,694.69	$4,663.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,094.82 / $2,806.63 / $4,000.58	Professional		$2,094.82	$2,806.63	$4,000.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,681.99 / $1,681.99 / $1,681.99	Facility		$1,681.99	$1,681.99	$1,681.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,345.59 / $2,144.83 / $3,816.65	Professional		$1,345.59	$2,144.83	$3,816.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,047.39	Facility		$555.00	$597.00	$2,047.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,868.75 / $2,792.79 / $6,443.34	Professional		$1,868.75	$2,792.79	$6,443.34
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 $1,619.76 / $2,276.79 / $5,446.92	Professional		$1,619.76	$2,276.79	$5,446.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,163.60 / $2,163.60 / $9,491.54	Facility		$2,163.60	$2,163.60	$9,491.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,345.59 / $2,250.15 / $4,573.51	Professional		$1,345.59	$2,250.15	$4,573.51