Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,003.55 / $5,390.10 / $12,105.00	Facility		$2,003.55	$5,390.10	$12,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.32 / $2,003.55 / $3,752.03	Professional		$1,663.32	$2,003.55	$3,752.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,453.33 / $1,899.79 / $4,622.64	Professional		$1,453.33	$1,899.79	$4,622.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,536.58 / $2,536.58 / $37,499.62	Facility		$2,536.58	$2,536.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,536.58 / $2,536.58 / $2,536.58	Professional		$2,536.58	$2,536.58	$2,536.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,097.92 / $2,097.92 / $2,097.92	Facility		$2,097.92	$2,097.92	$2,097.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,842.72 / $2,899.62 / $7,515.49	Professional		$1,842.72	$2,899.62	$7,515.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,592.00 / $5,195.09	Facility		$332.00	$2,592.00	$5,195.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,216.41 / $2,909.25 / $4,456.22	Professional		$2,216.41	$2,909.25	$4,456.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,692.58 / $1,692.58 / $1,692.58	Facility		$1,692.58	$1,692.58	$1,692.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,354.06 / $2,369.61 / $3,820.27	Professional		$1,354.06	$2,369.61	$3,820.27
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 $1,929.59 / $2,866.23 / $7,354.97	Professional		$1,929.59	$2,866.23	$7,354.97
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 $1,636.28 / $2,374.17 / $5,859.64	Professional		$1,636.28	$2,374.17	$5,859.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,049.24 / $3,049.24 / $7,747.42	Facility		$3,049.24	$3,049.24	$7,747.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,472.64 / $2,539.21 / $4,577.85	Professional		$1,472.64	$2,539.21	$4,577.85