Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,121.00 / $4,640.82 / $10,674.00	Facility		$2,121.00	$4,640.82	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,948.01 / $2,320.56 / $4,076.17	Professional		$1,948.01	$2,320.56	$4,076.17
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 $1,776.54 / $2,322.28 / $5,275.61	Professional		$1,776.54	$2,322.28	$5,275.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,048.56 / $3,048.56 / $37,499.62	Facility		$3,048.56	$3,048.56	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,048.56 / $3,048.56 / $3,048.56	Professional		$3,048.56	$3,048.56	$3,048.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,447.00 / $2,447.00 / $2,447.00	Facility		$2,447.00	$2,447.00	$2,447.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,110.16 / $3,400.18 / $7,780.85	Professional		$2,110.16	$3,400.18	$7,780.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,319.00 / $5,569.70	Facility		$332.00	$3,319.00	$5,569.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,339.57 / $3,248.90 / $4,777.56	Professional		$2,339.57	$3,248.90	$4,777.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.07 / $2,009.07 / $2,009.07	Facility		$2,009.07	$2,009.07	$2,009.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,769.57 / $2,583.07 / $4,556.60	Professional		$1,769.57	$2,583.07	$4,556.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,447.00	Facility		$555.00	$597.00	$2,447.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,229.27 / $3,263.68 / $7,603.62	Professional		$2,229.27	$3,263.68	$7,603.62
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 $1,978.67 / $2,802.87 / $6,798.58	Professional		$1,978.67	$2,802.87	$6,798.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,583.07 / $2,583.07 / $11,344.19	Facility		$2,583.07	$2,583.07	$11,344.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,009.07 / $2,799.84 / $5,460.19	Professional		$2,009.07	$2,799.84	$5,460.19