Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,840.23 / $3,777.84 / $10,170.00	Facility		$1,840.23	$3,777.84	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,912.24 / $2,503.35 / $4,318.29	Professional		$1,912.24	$2,503.35	$4,318.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,809.44 / $2,223.37 / $4,869.22	Professional		$1,809.44	$2,223.37	$4,869.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,043.75 / $3,043.75 / $37,499.62	Facility		$3,043.75	$3,043.75	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,043.75 / $3,043.75 / $3,043.75	Professional		$3,043.75	$3,043.75	$3,043.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,436.71 / $7,227.90	Facility		$1,765.00	$2,436.71	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,703.29 / $3,213.11 / $7,923.01	Professional		$1,703.29	$3,213.11	$7,923.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,160.00 / $5,749.20	Facility		$332.00	$2,160.00	$5,749.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,299.67 / $2,949.25 / $4,420.50	Professional		$2,299.67	$2,949.25	$4,420.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,974.84 / $1,974.84 / $1,974.84	Facility		$1,974.84	$1,974.84	$1,974.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,629.00 / $2,531.39 / $3,928.72	Professional		$1,629.00	$2,531.39	$3,928.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,436.71 / $7,227.90	Facility		$597.00	$2,436.71	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,773.88 / $3,109.70 / $7,377.39	Professional		$1,773.88	$3,109.70	$7,377.39
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 $1,802.72 / $2,591.31 / $5,976.00	Professional		$1,802.72	$2,591.31	$5,976.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,531.39 / $2,531.39 / $6,776.35	Facility		$2,531.39	$2,531.39	$6,776.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,629.00 / $2,839.05 / $5,381.53	Professional		$1,629.00	$2,839.05	$5,381.53