Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,833.05 / $3,797.00 / $10,965.00	Facility		$1,833.05	$3,797.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,015.83 / $2,585.26 / $4,210.06	Professional		$2,015.83	$2,585.26	$4,210.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,869.00	Facility		$4,100.00	$7,264.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,772.61 / $2,201.28 / $5,019.53	Professional		$1,772.61	$2,201.28	$5,019.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,099.56 / $3,099.56 / $37,499.62	Facility		$3,099.56	$3,099.56	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,099.56 / $3,099.56 / $3,099.56	Professional		$3,099.56	$3,099.56	$3,099.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,429.19 / $7,227.90	Facility		$1,765.00	$2,429.19	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.64 / $3,244.51 / $7,841.51	Professional		$1,628.64	$3,244.51	$7,841.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,640.00 / $5,605.11	Facility		$332.00	$1,640.00	$5,605.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,242.04 / $2,919.61 / $4,368.17	Professional		$2,242.04	$2,919.61	$4,368.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,012.98 / $2,012.98 / $2,012.98	Facility		$2,012.98	$2,012.98	$2,012.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,799.16 / $2,593.32 / $4,024.83	Professional		$1,799.16	$2,593.32	$4,024.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,429.19 / $7,227.90	Facility		$597.00	$2,429.19	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,992.17 / $3,136.87 / $7,224.64	Professional		$1,992.17	$3,136.87	$7,224.64
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,770.77 / $2,491.16 / $5,605.44	Professional		$1,770.77	$2,491.16	$5,605.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,593.32 / $2,593.32 / $8,410.15	Facility		$2,593.32	$2,593.32	$8,410.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,823.53 / $2,703.43 / $5,513.19	Professional		$1,823.53	$2,703.43	$5,513.19