Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,085.01 / $3,915.98 / $10,170.00	Facility		$2,085.01	$3,915.98	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,125.71 / $2,696.58 / $4,974.05	Professional		$2,125.71	$2,696.58	$4,974.05
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 $1,837.88 / $2,282.34 / $5,248.59	Professional		$1,837.88	$2,282.34	$5,248.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,142.21 / $3,142.21 / $37,499.62	Facility		$3,142.21	$3,142.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,142.21 / $3,142.21 / $3,142.21	Professional		$3,142.21	$3,142.21	$3,142.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,543.44 / $7,227.90	Facility		$1,765.00	$2,543.44	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.04 / $3,484.19 / $8,194.07	Professional		$1,770.04	$3,484.19	$8,194.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,005.00 / $5,940.41	Facility		$332.00	$3,005.00	$5,940.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,376.16 / $3,045.75 / $4,567.51	Professional		$2,376.16	$3,045.75	$4,567.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,045.85 / $2,045.85 / $2,045.85	Facility		$2,045.85	$2,045.85	$2,045.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,798.01 / $2,623.95 / $4,072.37	Professional		$1,798.01	$2,623.95	$4,072.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,543.44 / $7,227.90	Facility		$597.00	$2,543.44	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,135.09 / $3,326.39 / $7,664.43	Professional		$2,135.09	$3,326.39	$7,664.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,331.00 / $4,194.00 / $9,020.04	Facility		$1,331.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,876.69 / $2,661.11 / $6,271.89	Professional		$1,876.69	$2,661.11	$6,271.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,623.95 / $2,623.95 / $8,629.58	Facility		$2,623.95	$2,623.95	$8,629.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,877.52 / $2,747.57 / $5,578.30	Professional		$1,877.52	$2,747.57	$5,578.30