Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,173.85 / $5,390.10 / $12,105.00	Facility		$2,173.85	$5,390.10	$12,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,925.54 / $2,313.05 / $4,402.96	Professional		$1,925.54	$2,313.05	$4,402.96
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 $1,682.03 / $2,198.73 / $5,179.70	Professional		$1,682.03	$2,198.73	$5,179.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,129.79 / $3,129.79 / $37,499.62	Facility		$3,129.79	$3,129.79	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,129.79 / $3,129.79 / $3,129.79	Professional		$3,129.79	$3,129.79	$3,129.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,586.94 / $2,586.94 / $2,586.94	Facility		$2,586.94	$2,586.94	$2,586.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,155.83 / $3,175.76 / $8,727.11	Professional		$2,155.83	$3,175.76	$8,727.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,087.00 / $6,406.61	Facility		$332.00	$3,087.00	$6,406.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,482.53 / $3,556.76 / $5,495.44	Professional		$2,482.53	$3,556.76	$5,495.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.62 / $2,084.62 / $2,084.62	Facility		$2,084.62	$2,084.62	$2,084.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.27 / $2,918.47 / $4,704.14	Professional		$1,698.27	$2,918.47	$4,704.14
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 $2,155.79 / $3,175.76 / $8,055.12	Professional		$2,155.79	$3,175.76	$8,055.12
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 $1,958.22 / $2,914.10 / $7,590.36	Professional		$1,958.22	$2,914.10	$7,590.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,754.73 / $3,754.73 / $5,615.76	Facility		$3,754.73	$3,754.73	$5,615.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,698.27 / $3,127.35 / $5,248.09	Professional		$1,698.27	$3,127.35	$5,248.09