Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,629.00 / $10,674.00	Facility		$1,819.00	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,449.11 / $1,660.13 / $3,663.81	Professional		$1,449.11	$1,660.13	$3,663.81
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 $1,383.14 / $1,808.03 / $3,813.83	Professional		$1,383.14	$1,808.03	$3,813.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,282.40 / $2,282.40 / $37,499.62	Facility		$2,282.40	$2,282.40	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,282.40 / $2,282.40 / $2,282.40	Professional		$2,282.40	$2,282.40	$2,282.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.39 / $1,765.39 / $1,765.39	Facility		$1,765.39	$1,765.39	$1,765.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,538.93 / $2,471.84 / $5,651.74	Professional		$1,538.93	$2,471.84	$5,651.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,168.00 / $4,029.14	Facility		$332.00	$2,168.00	$4,029.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,717.42 / $2,358.79 / $3,456.11	Professional		$1,717.42	$2,358.79	$3,456.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,474.81 / $1,474.81 / $1,474.81	Facility		$1,474.81	$1,474.81	$1,474.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,285.75 / $1,602.77 / $3,326.25	Professional		$1,285.75	$1,602.77	$3,326.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,765.39	Facility		$555.00	$597.00	$1,765.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,636.33 / $2,419.21 / $5,649.03	Professional		$1,636.33	$2,419.21	$5,649.03
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 $1,456.62 / $1,998.01 / $4,989.68	Professional		$1,456.62	$1,998.01	$4,989.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,885.61 / $1,885.61 / $7,627.32	Facility		$1,885.61	$1,885.61	$7,627.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,379.36 / $2,055.30 / $3,985.87	Professional		$1,379.36	$2,055.30	$3,985.87