Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,100.67 / $5,700.00 / $12,075.00	Facility		$2,100.67	$5,700.00	$12,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,845.18 / $2,369.39 / $4,378.54	Professional		$1,845.18	$2,369.39	$4,378.54
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 $1,939.93 / $2,459.78 / $5,256.24	Professional		$1,939.93	$2,459.78	$5,256.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,208.69 / $4,492.50 / $13,477.50	Facility		$3,208.69	$4,492.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,208.69 / $3,208.69 / $3,208.69	Professional		$3,208.69	$3,208.69	$3,208.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,653.28 / $2,653.28 / $2,653.28	Facility		$2,653.28	$2,653.28	$2,653.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,212.30 / $3,344.77 / $8,997.29	Professional		$2,212.30	$3,344.77	$8,997.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,698.00 / $6,567.82	Facility		$332.00	$2,698.00	$6,567.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,541.25 / $3,633.82 / $6,188.34	Professional		$2,541.25	$3,633.82	$6,188.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,132.61 / $2,132.61 / $2,132.61	Facility		$2,132.61	$2,132.61	$2,132.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,690.09 / $2,719.44 / $4,813.58	Professional		$1,690.09	$2,719.44	$4,813.58
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 $2,211.07 / $3,344.77 / $8,339.04	Professional		$2,211.07	$3,344.77	$8,339.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $17,688.00	Facility		$2,705.00	$7,719.00	$17,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,053.01 / $3,086.26 / $8,692.40	Professional		$2,053.01	$3,086.26	$8,692.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,842.07 / $3,842.07 / $5,966.66	Facility		$3,842.07	$3,842.07	$5,966.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,746.96 / $3,199.34 / $5,768.13	Professional		$1,746.96	$3,199.34	$5,768.13