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 $1,524.41 / $1,755.21 / $3,206.07	Professional		$1,524.41	$1,755.21	$3,206.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $10,576.00 / $24,288.00	Facility		$4,977.00	$10,576.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,402.50 / $1,833.34 / $3,996.57	Professional		$1,402.50	$1,833.34	$3,996.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,281.87 / $2,644.00 / $12,319.50	Facility		$2,281.87	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,281.87 / $2,281.87 / $2,281.87	Professional		$2,281.87	$2,281.87	$2,281.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.47 / $1,877.47 / $1,877.47	Facility		$1,877.47	$1,877.47	$1,877.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,567.19 / $2,533.23 / $5,863.04	Professional		$1,567.19	$2,533.23	$5,863.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,979.00 / $4,144.03	Facility		$332.00	$1,979.00	$4,144.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,879.17 / $2,493.78 / $3,554.65	Professional		$1,879.17	$2,493.78	$3,554.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,517.95 / $1,517.95 / $1,517.95	Facility		$1,517.95	$1,517.95	$1,517.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.35 / $2,005.73 / $3,538.16	Professional		$1,214.35	$2,005.73	$3,538.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,877.47	Facility		$555.00	$597.00	$1,877.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,656.16 / $2,490.30 / $5,725.34	Professional		$1,656.16	$2,490.30	$5,725.34
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 $1,448.73 / $2,042.01 / $5,041.76	Professional		$1,448.73	$2,042.01	$5,041.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,005.73 / $2,005.73 / $7,266.79	Facility		$2,005.73	$2,005.73	$7,266.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,214.35 / $2,115.42 / $4,239.80	Professional		$1,214.35	$2,115.42	$4,239.80