Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $4,910.00 / $11,396.00	Facility		$1,817.98	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.83 / $1,696.27 / $3,336.95	Professional		$1,364.83	$1,696.27	$3,336.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,017.00 / $17,122.00	Facility		$4,760.00	$10,017.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,848.07 / $2,233.77 / $3,761.11	Professional		$1,848.07	$2,233.77	$3,761.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,096.21 / $2,096.21 / $37,499.62	Facility		$2,096.21	$2,096.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,096.21 / $2,096.21 / $2,096.21	Professional		$2,096.21	$2,096.21	$2,096.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,657.43 / $1,657.43 / $1,657.43	Facility		$1,657.43	$1,657.43	$1,657.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,418.81 / $2,380.42 / $7,130.43	Professional		$1,418.81	$2,380.42	$7,130.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,494.84 / $5,621.83	Facility		$332.00	$2,494.84	$5,621.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,587.56 / $2,252.07 / $3,329.42	Professional		$1,587.56	$2,252.07	$3,329.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,363.30 / $1,363.30 / $1,363.30	Facility		$1,363.30	$1,363.30	$1,363.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.14 / $1,869.36 / $3,069.25	Professional		$1,183.14	$1,869.36	$3,069.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,510.75 / $2,327.17 / $6,581.62	Professional		$1,510.75	$2,327.17	$6,581.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,988.00 / $8,515.00	Facility		$1,479.00	$3,988.00	$8,515.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,371.25 / $2,043.02 / $4,994.68	Professional		$1,371.25	$2,043.02	$4,994.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,449.80 / $2,449.80 / $6,685.35	Facility		$2,449.80	$2,449.80	$6,685.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,254.49 / $2,002.49 / $3,677.90	Professional		$1,254.49	$2,002.49	$3,677.90