Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.00 / $4,050.26 / $10,965.00	Facility		$1,837.00	$4,050.26	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,054.04 / $2,710.32 / $4,643.53	Professional		$2,054.04	$2,710.32	$4,643.53
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 $1,884.03 / $2,315.02 / $5,290.80	Professional		$1,884.03	$2,315.02	$5,290.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,250.68 / $3,250.68 / $37,499.62	Facility		$3,250.68	$3,250.68	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,250.68 / $3,250.68 / $3,250.68	Professional		$3,250.68	$3,250.68	$3,250.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,624.83 / $7,227.90	Facility		$1,765.00	$2,624.83	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,847.01 / $3,442.97 / $8,502.51	Professional		$1,847.01	$3,442.97	$8,502.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,155.00 / $6,182.21	Facility		$332.00	$2,155.00	$6,182.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,472.89 / $3,171.28 / $4,753.43	Professional		$2,472.89	$3,171.28	$4,753.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,120.13 / $2,120.13 / $2,120.13	Facility		$2,120.13	$2,120.13	$2,120.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,798.73 / $2,713.93 / $4,212.02	Professional		$1,798.73	$2,713.93	$4,212.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,624.83 / $7,227.90	Facility		$597.00	$2,624.83	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,923.36 / $3,321.39 / $7,912.80	Professional		$1,923.36	$3,321.39	$7,912.80
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 $1,938.49 / $2,776.29 / $6,996.20	Professional		$1,938.49	$2,776.29	$6,996.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,713.93 / $2,713.93 / $6,676.58	Facility		$2,713.93	$2,713.93	$6,676.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,798.73 / $3,043.78 / $5,769.60	Professional		$1,798.73	$3,043.78	$5,769.60