Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,390.10 / $12,668.00	Facility		$2,220.00	$5,390.10	$12,668.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.02 / $2,369.15 / $4,546.00	Professional		$1,949.02	$2,369.15	$4,546.00
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 $1,930.82 / $2,433.29 / $5,284.72	Professional		$1,930.82	$2,433.29	$5,284.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,206.24 / $3,206.24 / $37,499.62	Facility		$3,206.24	$3,206.24	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,206.24 / $3,206.24 / $3,206.24	Professional		$3,206.24	$3,206.24	$3,206.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,651.02 / $2,651.02 / $2,651.02	Facility		$2,651.02	$2,651.02	$2,651.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,146.38 / $3,255.76 / $8,942.81	Professional		$2,146.38	$3,255.76	$8,942.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,861.00 / $6,561.05	Facility		$332.00	$2,861.00	$6,561.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,542.05 / $3,586.08 / $5,627.92	Professional		$2,542.05	$3,586.08	$5,627.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.57 / $2,134.57 / $2,134.57	Facility		$2,134.57	$2,134.57	$2,134.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,743.75 / $2,988.40 / $4,819.10	Professional		$1,743.75	$2,988.40	$4,819.10
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 $2,146.38 / $3,258.36 / $8,229.61	Professional		$2,146.38	$3,258.36	$8,229.61
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 $2,006.69 / $3,010.04 / $7,514.32	Professional		$2,006.69	$3,010.04	$7,514.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,846.49 / $3,846.49 / $5,836.52	Facility		$3,846.49	$3,846.49	$5,836.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,857.68 / $3,202.28 / $5,382.68	Professional		$1,857.68	$3,202.28	$5,382.68