Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,054.56 / $5,390.10 / $12,668.00	Facility		$2,054.56	$5,390.10	$12,668.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,514.89 / $1,834.27 / $3,778.92	Professional		$1,514.89	$1,834.27	$3,778.92
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 $1,381.79 / $1,806.27 / $4,032.60	Professional		$1,381.79	$1,806.27	$4,032.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,493.17 / $2,493.17 / $37,499.62	Facility		$2,493.17	$2,493.17	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,493.17 / $2,493.17 / $2,493.17	Professional		$2,493.17	$2,493.17	$2,493.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,977.73 / $1,977.73 / $1,977.73	Facility		$1,977.73	$1,977.73	$1,977.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.08 / $2,576.67 / $6,670.02	Professional		$1,737.08	$2,576.67	$6,670.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,521.00 / $4,635.97	Facility		$332.00	$2,521.00	$4,635.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,895.52 / $2,689.75 / $3,976.63	Professional		$1,895.52	$2,689.75	$3,976.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,627.75 / $1,627.75 / $1,627.75	Facility		$1,627.75	$1,627.75	$1,627.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.25 / $2,278.85 / $3,663.60	Professional		$1,412.25	$2,278.85	$3,663.60
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 $1,683.24 / $2,544.65 / $6,234.28	Professional		$1,683.24	$2,544.65	$6,234.28
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 $1,555.97 / $2,270.29 / $5,467.90	Professional		$1,555.97	$2,270.29	$5,467.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,924.19 / $2,924.19 / $5,207.66	Facility		$2,924.19	$2,924.19	$5,207.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,471.31 / $2,441.94 / $4,390.10	Professional		$1,471.31	$2,441.94	$4,390.10