Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,177.44 / $5,700.00 / $12,668.00	Facility		$2,177.44	$5,700.00	$12,668.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,784.21 / $2,177.44 / $4,022.23	Professional		$1,784.21	$2,177.44	$4,022.23
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 $1,633.64 / $2,130.57 / $4,935.47	Professional		$1,633.64	$2,130.57	$4,935.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,719.60 / $2,719.60 / $37,499.62	Facility		$2,719.60	$2,719.60	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,719.60 / $2,719.60 / $2,719.60	Professional		$2,719.60	$2,719.60	$2,719.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,248.63 / $2,248.63 / $2,248.63	Facility		$2,248.63	$2,248.63	$2,248.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,979.80 / $3,109.33 / $8,055.56	Professional		$1,979.80	$3,109.33	$8,055.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,648.00 / $5,571.68	Facility		$332.00	$2,648.00	$5,571.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,161.32 / $3,101.14 / $4,779.26	Professional		$2,161.32	$3,101.14	$4,779.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,815.62 / $1,815.62 / $1,815.62	Facility		$1,815.62	$1,815.62	$1,815.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,557.80 / $2,541.87 / $4,096.14	Professional		$1,557.80	$2,541.87	$4,096.14
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 $2,056.21 / $3,072.60 / $7,890.96	Professional		$2,056.21	$3,072.60	$7,890.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $18,532.00	Facility		$2,673.00	$7,719.00	$18,532.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.33 / $2,473.87 / $6,370.47	Professional		$1,698.33	$2,473.87	$6,370.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,269.44 / $3,269.44 / $8,219.07	Facility		$3,269.44	$3,269.44	$8,219.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,578.99 / $2,723.80 / $4,908.43	Professional		$1,578.99	$2,723.80	$4,908.43