Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.91 / $4,640.82 / $10,674.00	Facility		$1,987.91	$4,640.82	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,880.17 / $2,200.98 / $4,012.49	Professional		$1,880.17	$2,200.98	$4,012.49
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 $1,744.65 / $2,280.60 / $4,868.97	Professional		$1,744.65	$2,280.60	$4,868.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,985.91 / $2,985.91 / $37,499.62	Facility		$2,985.91	$2,985.91	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,985.91 / $2,985.91 / $2,985.91	Professional		$2,985.91	$2,985.91	$2,985.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,382.40 / $2,382.40 / $2,382.40	Facility		$2,382.40	$2,382.40	$2,382.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,064.92 / $3,112.67 / $7,843.70	Professional		$2,064.92	$3,112.67	$7,843.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,067.00 / $5,552.98	Facility		$332.00	$3,067.00	$5,552.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,472.23 / $3,297.88 / $4,763.22	Professional		$2,472.23	$3,297.88	$4,763.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,967.54 / $1,967.54 / $1,967.54	Facility		$1,967.54	$1,967.54	$1,967.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,574.03 / $2,133.42 / $4,427.52	Professional		$1,574.03	$2,133.42	$4,427.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,382.40	Facility		$555.00	$597.00	$2,382.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,168.75 / $3,112.67 / $7,409.27	Professional		$2,168.75	$3,112.67	$7,409.27
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 $1,906.42 / $2,753.71 / $6,736.47	Professional		$1,906.42	$2,753.71	$6,736.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,509.90 / $2,509.90 / $9,619.79	Facility		$2,509.90	$2,509.90	$9,619.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,706.73 / $2,610.29 / $5,305.52	Professional		$1,706.73	$2,610.29	$5,305.52