Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,202.00 / $11,996.00	Facility		$1,819.00	$5,202.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.93 / $1,802.63 / $3,585.22	Professional		$1,431.93	$1,802.63	$3,585.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,448.90 / $1,837.17 / $3,931.90	Professional		$1,448.90	$1,837.17	$3,931.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,432.54 / $4,492.50 / $13,477.50	Facility		$2,432.54	$4,492.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,432.54 / $2,432.54 / $2,432.54	Professional		$2,432.54	$2,432.54	$2,432.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,012.44 / $2,012.44 / $2,012.44	Facility		$2,012.44	$2,012.44	$2,012.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,645.81 / $2,504.56 / $6,995.32	Professional		$1,645.81	$2,504.56	$6,995.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,121.83 / $4,989.06	Facility		$332.00	$2,121.83	$4,989.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,940.66 / $2,742.06 / $4,279.50	Professional		$1,940.66	$2,742.06	$4,279.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,632.18 / $1,632.18 / $1,632.18	Facility		$1,632.18	$1,632.18	$1,632.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.35 / $2,285.05 / $3,680.58	Professional		$1,220.35	$2,285.05	$3,680.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,749.95 / $2,519.83 / $6,868.07	Professional		$1,749.95	$2,519.83	$6,868.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,762.00 / $16,961.00	Facility		$2,341.00	$6,762.00	$16,961.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.91 / $2,252.67 / $5,750.85	Professional		$1,512.91	$2,252.67	$5,750.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,937.74 / $2,937.74 / $6,432.46	Facility		$2,937.74	$2,937.74	$6,432.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,220.35 / $2,448.59 / $4,410.45	Professional		$1,220.35	$2,448.59	$4,410.45