Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,684.74 / $4,865.47 / $11,396.00	Facility		$1,684.74	$4,865.47	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.13 / $1,586.15 / $3,680.10	Professional		$1,269.13	$1,586.15	$3,680.10
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 $1,741.95 / $2,137.23 / $3,589.20	Professional		$1,741.95	$2,137.23	$3,589.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,961.13 / $1,961.13 / $37,499.62	Facility		$1,961.13	$1,961.13	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,961.13 / $1,961.13 / $1,961.13	Professional		$1,961.13	$1,961.13	$1,961.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.57 / $1,621.57 / $1,621.57	Facility		$1,621.57	$1,621.57	$1,621.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,391.01 / $2,243.82 / $7,029.22	Professional		$1,391.01	$2,243.82	$7,029.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,748.90 / $15,064.00	Facility		$332.00	$2,748.90	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,558.59 / $2,234.41 / $3,448.62	Professional		$1,558.59	$2,234.41	$3,448.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,309.00 / $1,309.00 / $1,309.00	Facility		$1,309.00	$1,309.00	$1,309.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,137.49 / $1,624.60 / $2,950.82	Professional		$1,137.49	$1,624.60	$2,950.82
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 $1,442.66 / $2,192.19 / $6,533.93	Professional		$1,442.66	$2,192.19	$6,533.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,859.00	Facility		$1,749.00	$4,194.00	$9,859.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,227.34 / $1,919.08 / $4,652.64	Professional		$1,227.34	$1,919.08	$4,652.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,624.60 / $1,624.60 / $5,674.72	Facility		$1,624.60	$1,624.60	$5,674.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,138.49 / $1,794.90 / $3,535.98	Professional		$1,138.49	$1,794.90	$3,535.98