Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,335.77 / $4,648.00 / $10,674.00	Facility		$2,335.77	$4,648.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,335.77 / $2,784.52 / $4,880.91	Professional		$2,335.77	$2,784.52	$4,880.91
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 $2,128.65 / $2,782.56 / $6,147.96	Professional		$2,128.65	$2,782.56	$6,147.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,652.03 / $3,652.03 / $37,499.62	Facility		$3,652.03	$3,652.03	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,652.03 / $3,652.03 / $3,652.03	Professional		$3,652.03	$3,652.03	$3,652.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,934.56 / $2,934.56 / $2,934.56	Facility		$2,934.56	$2,934.56	$2,934.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,503.41 / $4,110.42 / $9,323.50	Professional		$2,503.41	$4,110.42	$9,323.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,086.00 / $6,671.54	Facility		$332.00	$4,086.00	$6,671.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,995.56 / $4,014.79 / $5,722.70	Professional		$2,995.56	$4,014.79	$5,722.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,407.53 / $2,407.53 / $2,407.53	Facility		$2,407.53	$2,407.53	$2,407.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,926.02 / $3,093.44 / $5,456.91	Professional		$1,926.02	$3,093.44	$5,456.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,934.56	Facility		$555.00	$597.00	$2,934.56
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,659.64 / $3,915.91 / $8,776.86	Professional		$2,659.64	$3,915.91	$8,776.86
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 $2,296.91 / $3,269.51 / $7,794.58	Professional		$2,296.91	$3,269.51	$7,794.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,093.44 / $3,093.44 / $13,903.36	Facility		$3,093.44	$3,093.44	$13,903.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,103.54 / $3,355.13 / $6,539.04	Professional		$2,103.54	$3,355.13	$6,539.04