Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,740.68 / $5,700.00 / $22,080.00	Facility		$1,740.68	$5,700.00	$22,080.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,257.10 / $1,560.81 / $3,521.98	Professional		$1,257.10	$1,560.81	$3,521.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.02 / $2,099.54 / $3,577.29	Professional		$1,737.02	$2,099.54	$3,577.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,943.50 / $5,511.50 / $16,534.50	Facility		$1,943.50	$5,511.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,943.50 / $1,943.50 / $1,943.50	Professional		$1,943.50	$1,943.50	$1,943.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,570.90 / $1,570.90 / $1,570.90	Facility		$1,570.90	$1,570.90	$1,570.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,336.93 / $2,193.76 / $6,174.21	Professional		$1,336.93	$2,193.76	$6,174.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,790.00 / $15,064.00	Facility		$332.00	$2,790.00	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,493.61 / $2,148.85 / $3,240.78	Professional		$1,493.61	$2,148.85	$3,240.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,279.08 / $1,279.08 / $1,279.08	Facility		$1,279.08	$1,279.08	$1,279.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,112.14 / $1,753.87 / $2,885.06	Professional		$1,112.14	$1,753.87	$2,885.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,570.90 / $37,776.00	Facility		$555.00	$1,570.90	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,425.13 / $2,161.92 / $6,011.30	Professional		$1,425.13	$2,161.92	$6,011.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $8,517.00 / $17,108.00	Facility		$2,444.00	$8,517.00	$17,108.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,269.31 / $1,982.57 / $4,929.72	Professional		$1,269.31	$1,982.57	$4,929.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,302.78 / $2,302.78 / $6,059.98	Facility		$2,302.78	$2,302.78	$6,059.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,175.52 / $1,882.32 / $3,457.18	Professional		$1,175.52	$1,882.32	$3,457.18