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 $1,422.92 / $1,789.77 / $3,549.70	Professional		$1,422.92	$1,789.77	$3,549.70
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 $1,931.31 / $2,410.83 / $4,105.49	Professional		$1,931.31	$2,410.83	$4,105.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,211.31 / $2,211.31 / $37,499.62	Facility		$2,211.31	$2,211.31	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,211.31 / $2,211.31 / $2,211.31	Professional		$2,211.31	$2,211.31	$2,211.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,828.45 / $1,828.45 / $1,828.45	Facility		$1,828.45	$1,828.45	$1,828.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,569.63 / $2,533.76 / $7,391.10	Professional		$1,569.63	$2,533.76	$7,391.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,097.84 / $15,064.00	Facility		$332.00	$3,097.84	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,756.23 / $2,518.32 / $3,885.13	Professional		$1,756.23	$2,518.32	$3,885.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,475.16 / $1,475.16 / $1,475.16	Facility		$1,475.16	$1,475.16	$1,475.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,234.75 / $1,832.39 / $3,328.24	Professional		$1,234.75	$1,832.39	$3,328.24
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 $1,619.67 / $2,502.31 / $7,236.86	Professional		$1,619.67	$2,502.31	$7,236.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $9,300.00	Facility		$1,479.00	$4,114.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,409.57 / $2,195.29 / $5,793.90	Professional		$1,409.57	$2,195.29	$5,793.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,832.39 / $1,832.39 / $6,335.61	Facility		$1,832.39	$1,832.39	$6,335.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,282.98 / $2,022.74 / $3,988.25	Professional		$1,282.98	$2,022.74	$3,988.25