Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,151.67 / $5,390.10 / $12,105.00	Facility		$2,151.67	$5,390.10	$12,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,839.53 / $2,151.67 / $4,182.68	Professional		$1,839.53	$2,151.67	$4,182.68
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 $1,629.65 / $2,130.27 / $5,026.70	Professional		$1,629.65	$2,130.27	$5,026.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,912.92 / $2,912.92 / $37,499.62	Facility		$2,912.92	$2,912.92	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,912.92 / $2,912.92 / $2,912.92	Professional		$2,912.92	$2,912.92	$2,912.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,274.10 / $2,274.10 / $2,274.10	Facility		$2,274.10	$2,274.10	$2,274.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,011.01 / $3,258.56 / $8,235.54	Professional		$2,011.01	$3,258.56	$8,235.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,968.00 / $5,323.28	Facility		$332.00	$2,968.00	$5,323.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,176.96 / $3,088.49 / $4,566.18	Professional		$2,176.96	$3,088.49	$4,566.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,869.44 / $1,869.44 / $1,869.44	Facility		$1,869.44	$1,869.44	$1,869.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,622.74 / $2,617.21 / $4,209.64	Professional		$1,622.74	$2,617.21	$4,209.64
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 $2,093.55 / $3,141.41 / $7,874.71	Professional		$2,093.55	$3,141.41	$7,874.71
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 $1,825.23 / $2,631.11 / $6,767.35	Professional		$1,825.23	$2,631.11	$6,767.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,360.03 / $3,360.03 / $9,426.11	Facility		$3,360.03	$3,360.03	$9,426.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,722.50 / $2,804.54 / $5,044.43	Professional		$1,722.50	$2,804.54	$5,044.43