Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,895.42 / $5,411.00 / $12,668.00	Facility		$1,895.42	$5,411.00	$12,668.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,624.46 / $2,080.67 / $4,163.59	Professional		$1,624.46	$2,080.67	$4,163.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $10,294.00 / $21,221.00	Facility		$4,977.00	$10,294.00	$21,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.26 / $2,081.37 / $4,403.21	Professional		$1,659.26	$2,081.37	$4,403.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,814.47 / $2,814.47 / $37,499.62	Facility		$2,814.47	$2,814.47	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,814.47 / $2,814.47 / $2,814.47	Professional		$2,814.47	$2,814.47	$2,814.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.28 / $2,326.28 / $2,326.28	Facility		$2,326.28	$2,326.28	$2,326.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,980.10 / $2,938.95 / $8,265.58	Professional		$1,980.10	$2,938.95	$8,265.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,561.13 / $8,074.59	Facility		$319.00	$2,561.13	$8,074.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,186.09 / $3,153.83 / $4,942.97	Professional		$2,186.09	$3,153.83	$4,942.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,877.28 / $1,877.28 / $1,877.28	Facility		$1,877.28	$1,877.28	$1,877.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,346.99 / $2,628.20 / $4,235.91	Professional		$1,346.99	$2,628.20	$4,235.91
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 $2,020.91 / $2,850.66 / $7,838.77	Professional		$2,020.91	$2,850.66	$7,838.77
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 $1,758.29 / $2,612.73 / $6,805.38	Professional		$1,758.29	$2,612.73	$6,805.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,380.99 / $3,380.99 / $4,258.78	Facility		$3,380.99	$3,380.99	$4,258.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,413.37 / $2,816.30 / $4,725.71	Professional		$1,413.37	$2,816.30	$4,725.71