Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,947.44 / $3,922.81 / $10,170.00	Facility		$1,947.44	$3,922.81	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,947.44 / $2,619.07 / $5,552.42	Professional		$1,947.44	$2,619.07	$5,552.42
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 $1,810.03 / $2,224.09 / $5,019.50	Professional		$1,810.03	$2,224.09	$5,019.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,126.59 / $3,126.59 / $37,499.62	Facility		$3,126.59	$3,126.59	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,126.59 / $3,126.59 / $3,126.59	Professional		$3,126.59	$3,126.59	$3,126.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,524.85 / $7,227.90	Facility		$1,765.00	$2,524.85	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,707.24 / $3,293.33 / $8,264.85	Professional		$1,707.24	$3,293.33	$8,264.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $845.00 / $5,837.06	Facility		$332.00	$845.00	$5,837.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,334.83 / $3,007.36 / $4,488.05	Professional		$2,334.83	$3,007.36	$4,488.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,044.67 / $2,044.67 / $2,044.67	Facility		$2,044.67	$2,044.67	$2,044.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,733.97 / $2,351.37 / $4,079.47	Professional		$1,733.97	$2,351.37	$4,079.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,524.85 / $7,227.90	Facility		$597.00	$2,524.85	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,832.37 / $3,200.87 / $7,816.24	Professional		$1,832.37	$3,200.87	$7,816.24
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 $1,829.32 / $2,530.46 / $5,652.33	Professional		$1,829.32	$2,530.46	$5,652.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,628.53 / $2,628.53 / $8,051.03	Facility		$2,628.53	$2,628.53	$8,051.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,733.97 / $2,948.00 / $5,588.03	Professional		$1,733.97	$2,948.00	$5,588.03