Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.61 / $5,390.10 / $12,105.00	Facility		$1,956.61	$5,390.10	$12,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,656.00 / $1,946.01 / $3,314.91	Professional		$1,656.00	$1,946.01	$3,314.91
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 $1,535.72 / $2,007.48 / $4,597.34	Professional		$1,535.72	$2,007.48	$4,597.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,554.10 / $2,554.10 / $37,499.62	Facility		$2,554.10	$2,554.10	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,554.10 / $2,554.10 / $2,554.10	Professional		$2,554.10	$2,554.10	$2,554.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,083.80 / $2,083.80 / $2,083.80	Facility		$2,083.80	$2,083.80	$2,083.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.60 / $2,886.51 / $7,341.85	Professional		$1,861.60	$2,886.51	$7,341.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,643.00 / $4,972.37	Facility		$332.00	$2,643.00	$4,972.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,964.37 / $2,826.84 / $4,265.18	Professional		$1,964.37	$2,826.84	$4,265.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.64 / $1,682.64 / $1,682.64	Facility		$1,682.64	$1,682.64	$1,682.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,472.47 / $2,355.69 / $3,819.80	Professional		$1,472.47	$2,355.69	$3,819.80
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 $1,899.21 / $2,845.30 / $7,271.84	Professional		$1,899.21	$2,845.30	$7,271.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $19,689.00	Facility		$2,673.00	$7,719.00	$19,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,630.44 / $2,343.98 / $6,038.16	Professional		$1,630.44	$2,343.98	$6,038.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,048.87 / $3,048.87 / $8,303.87	Facility		$3,048.87	$3,048.87	$8,303.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,542.00 / $2,524.30 / $4,577.29	Professional		$1,542.00	$2,524.30	$4,577.29