Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,157.00 / $11,396.00	Facility		$1,819.00	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.08 / $1,584.04 / $3,163.61	Professional		$1,375.08	$1,584.04	$3,163.61
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 $1,245.65 / $1,628.31 / $3,569.41	Professional		$1,245.65	$1,628.31	$3,569.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,146.75 / $2,146.75 / $37,499.62	Facility		$2,146.75	$2,146.75	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,146.75 / $2,146.75 / $2,146.75	Professional		$2,146.75	$2,146.75	$2,146.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,710.90 / $1,710.90 / $1,710.90	Facility		$1,710.90	$1,710.90	$1,710.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,484.23 / $2,311.73 / $5,635.15	Professional		$1,484.23	$2,311.73	$5,635.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,308.10 / $3,994.79	Facility		$332.00	$2,308.10	$3,994.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,779.25 / $2,377.28 / $3,426.64	Professional		$1,779.25	$2,377.28	$3,426.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,415.07 / $1,415.07 / $1,415.07	Facility		$1,415.07	$1,415.07	$1,415.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,132.06 / $1,535.53 / $3,186.73	Professional		$1,132.06	$1,535.53	$3,186.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,710.90	Facility		$555.00	$597.00	$1,710.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,553.94 / $2,285.91 / $5,305.32	Professional		$1,553.94	$2,285.91	$5,305.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $5,547.00 / $12,509.00	Facility		$2,705.00	$5,547.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,365.98 / $1,957.87 / $4,894.91	Professional		$1,365.98	$1,957.87	$4,894.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,806.51 / $1,806.51 / $6,916.40	Facility		$1,806.51	$1,806.51	$6,916.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,228.43 / $1,972.04 / $3,818.67	Professional		$1,228.43	$1,972.04	$3,818.67