Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,167.13 / $4,640.82 / $10,674.00	Facility		$2,167.13	$4,640.82	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,201.79 / $2,575.44 / $4,693.26	Professional		$2,201.79	$2,575.44	$4,693.26
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 $2,047.53 / $2,676.52 / $5,673.73	Professional		$2,047.53	$2,676.52	$5,673.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,496.07 / $3,496.07 / $37,499.62	Facility		$3,496.07	$3,496.07	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,496.07 / $3,496.07 / $3,496.07	Professional		$3,496.07	$3,496.07	$3,496.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,789.24 / $2,789.24 / $2,789.24	Facility		$2,789.24	$2,789.24	$2,789.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,417.53 / $3,956.73 / $9,189.07	Professional		$2,417.53	$3,956.73	$9,189.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,646.00 / $6,489.25	Facility		$332.00	$3,646.00	$6,489.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,889.04 / $3,851.66 / $5,566.33	Professional		$2,889.04	$3,851.66	$5,566.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,300.21 / $2,300.21 / $2,300.21	Facility		$2,300.21	$2,300.21	$2,300.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,840.18 / $2,935.81 / $5,178.85	Professional		$1,840.18	$2,935.81	$5,178.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,789.24	Facility		$555.00	$597.00	$2,789.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,542.35 / $3,774.39 / $8,688.67	Professional		$2,542.35	$3,774.39	$8,688.67
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 $2,234.84 / $3,104.06 / $7,866.80	Professional		$2,234.84	$3,104.06	$7,866.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,935.81 / $2,935.81 / $11,595.07	Facility		$2,935.81	$2,935.81	$11,595.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,996.35 / $3,205.58 / $6,205.84	Professional		$1,996.35	$3,205.58	$6,205.84