Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,157.00 / $11,653.00	Facility		$1,819.00	$5,157.00	$11,653.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.33 / $1,607.69 / $2,927.23	Professional		$1,390.33	$1,607.69	$2,927.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,838.00 / $17,247.00	Facility		$4,977.00	$9,838.00	$17,247.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,268.14 / $1,657.71 / $3,809.44	Professional		$1,268.14	$1,657.71	$3,809.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,168.96 / $2,168.96 / $13,477.50	Facility		$2,168.96	$2,168.96	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,168.96 / $2,168.96 / $2,168.96	Professional		$2,168.96	$2,168.96	$2,168.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,740.42 / $1,740.42 / $1,740.42	Facility		$1,740.42	$1,740.42	$1,740.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.37 / $2,464.14 / $5,763.95	Professional		$1,521.37	$2,464.14	$5,763.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $958.40 / $4,072.34	Facility		$332.00	$958.40	$4,072.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,674.08 / $2,365.56 / $3,493.16	Professional		$1,674.08	$2,365.56	$3,493.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,437.60 / $1,437.60 / $1,437.60	Facility		$1,437.60	$1,437.60	$1,437.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.07 / $1,832.45 / $3,232.49	Professional		$1,246.07	$1,832.45	$3,232.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $23,612.00	Facility		$555.00	$597.00	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,570.68 / $2,330.28 / $5,394.09	Professional		$1,570.68	$2,330.28	$5,394.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $16,692.00	Facility		$2,705.00	$7,719.00	$16,692.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $2,007.57 / $5,376.50	Professional		$1,377.00	$2,007.57	$5,376.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,832.45 / $1,832.45 / $3,859.91	Facility		$1,832.45	$1,832.45	$3,859.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,431.57 / $2,003.43 / $3,859.91	Professional		$1,431.57	$2,003.43	$3,859.91