Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.00 / $5,411.00 / $12,105.00	Facility		$2,626.00	$5,411.00	$12,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,419.23 / $2,909.35 / $4,822.04	Professional		$2,419.23	$2,909.35	$4,822.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,037.00 / $19,299.00	Facility		$4,760.00	$10,037.00	$19,299.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,060.06 / $2,692.89 / $6,551.89	Professional		$2,060.06	$2,692.89	$6,551.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,496.12 / $3,496.12 / $37,499.62	Facility		$3,496.12	$3,496.12	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,496.12 / $3,496.12 / $3,496.12	Professional		$3,496.12	$3,496.12	$3,496.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.44 / $2,802.44 / $2,802.44	Facility		$2,802.44	$2,802.44	$2,802.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,474.62 / $4,005.35 / $9,676.00	Professional		$2,474.62	$4,005.35	$9,676.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,440.00 / $6,550.47	Facility		$332.00	$3,440.00	$6,550.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,679.12 / $3,800.29 / $5,618.85	Professional		$2,679.12	$3,800.29	$5,618.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,300.66 / $2,300.66 / $2,300.66	Facility		$2,300.66	$2,300.66	$2,300.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,122.39 / $3,220.93 / $5,182.10	Professional		$2,122.39	$3,220.93	$5,182.10
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 $2,601.34 / $3,909.30 / $9,660.59	Professional		$2,601.34	$3,909.30	$9,660.59
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 $2,211.14 / $3,205.87 / $7,762.42	Professional		$2,211.14	$3,205.87	$7,762.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,136.22 / $4,136.22 / $11,184.53	Facility		$4,136.22	$4,136.22	$11,184.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,147.38 / $3,451.45 / $6,209.74	Professional		$2,147.38	$3,451.45	$6,209.74