Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,812.84 / $5,700.00 / $26,366.02	Facility		$1,812.84	$5,700.00	$26,366.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.74 / $1,764.90 / $3,387.57	Professional		$1,469.74	$1,764.90	$3,387.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,614.00 / $7,015.00 / $29,556.00	Facility		$3,614.00	$7,015.00	$29,556.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.76 / $1,637.68 / $3,745.00	Professional		$1,318.76	$1,637.68	$3,745.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,327.07 / $2,327.07 / $37,499.62	Facility		$2,327.07	$2,327.07	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,327.07 / $2,327.07 / $2,327.07	Professional		$2,327.07	$2,327.07	$2,327.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,882.07 / $27,393.00 / $36,587.00	Facility		$1,882.07	$27,393.00	$36,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,360.18 / $2,447.78 / $6,112.55	Professional		$1,360.18	$2,447.78	$6,112.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,975.80 / $30,278.00	Facility		$332.00	$1,975.80	$30,278.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.22 / $2,279.42 / $3,418.13	Professional		$1,778.22	$2,279.42	$3,418.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,526.46 / $1,526.46 / $1,526.46	Facility		$1,526.46	$1,526.46	$1,526.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,266.84 / $1,952.51 / $3,030.29	Professional		$1,266.84	$1,952.51	$3,030.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $15,713.00 / $36,587.00	Facility		$1,765.00	$15,713.00	$36,587.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,600.00 / $2,397.12 / $5,759.15	Professional		$1,600.00	$2,397.12	$5,759.15
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,754.00 / $38,980.00	Facility		$996.00	$4,754.00	$38,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,369.12 / $1,946.58 / $5,039.97	Professional		$1,369.12	$1,946.58	$5,039.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,952.51 / $1,952.51 / $5,775.29	Facility		$1,952.51	$1,952.51	$5,775.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,266.84 / $2,189.81 / $4,150.87	Professional		$1,266.84	$2,189.81	$4,150.87