Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,196.29 / $5,390.10 / $12,105.00	Facility		$2,196.29	$5,390.10	$12,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,766.40 / $2,173.90 / $4,402.31	Professional		$1,766.40	$2,173.90	$4,402.31
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 $1,730.43 / $2,194.14 / $4,988.57	Professional		$1,730.43	$2,194.14	$4,988.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,864.63 / $4,492.50 / $13,477.50	Facility		$2,864.63	$4,492.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,864.63 / $2,864.63 / $2,864.63	Professional		$2,864.63	$2,864.63	$2,864.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,368.37 / $2,368.37 / $2,368.37	Facility		$2,368.37	$2,368.37	$2,368.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,071.21 / $3,113.42 / $8,087.38	Professional		$2,071.21	$3,113.42	$8,087.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,389.00 / $5,861.07	Facility		$332.00	$2,389.00	$5,861.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,269.77 / $3,282.20 / $5,522.43	Professional		$2,269.77	$3,282.20	$5,522.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.59 / $1,905.59 / $1,905.59	Facility		$1,905.59	$1,905.59	$1,905.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,556.75 / $2,667.83 / $4,301.91	Professional		$1,556.75	$2,667.83	$4,301.91
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 $2,041.21 / $3,065.03 / $7,443.99	Professional		$2,041.21	$3,065.03	$7,443.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,762.00 / $16,961.00	Facility		$2,341.00	$6,762.00	$16,961.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,832.59 / $2,691.47 / $7,314.22	Professional		$1,832.59	$2,691.47	$7,314.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,433.68 / $3,433.68 / $5,367.48	Facility		$3,433.68	$3,433.68	$5,367.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,658.31 / $2,858.77 / $5,155.00	Professional		$1,658.31	$2,858.77	$5,155.00