Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,910.00 / $11,396.00	Facility		$1,819.00	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,538.94 / $1,936.86 / $3,763.36	Professional		$1,538.94	$1,936.86	$3,763.36
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 $2,148.89 / $2,613.71 / $4,444.89	Professional		$2,148.89	$2,613.71	$4,444.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,393.85 / $2,393.85 / $37,499.62	Facility		$2,393.85	$2,393.85	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,393.85 / $2,393.85 / $2,393.85	Professional		$2,393.85	$2,393.85	$2,393.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,980.56 / $1,980.56 / $1,980.56	Facility		$1,980.56	$1,980.56	$1,980.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.60 / $2,733.24 / $8,066.47	Professional		$1,701.60	$2,733.24	$8,066.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,334.00 / $15,064.00	Facility		$332.00	$3,334.00	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,899.07 / $2,720.81 / $4,203.77	Professional		$1,899.07	$2,720.81	$4,203.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,594.77 / $1,594.77 / $1,594.77	Facility		$1,594.77	$1,594.77	$1,594.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,388.10 / $1,685.15 / $3,600.93	Professional		$1,388.10	$1,685.15	$3,600.93
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 $1,755.63 / $2,711.81 / $7,898.39	Professional		$1,755.63	$2,711.81	$7,898.39
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 $1,527.37 / $2,446.35 / $6,452.79	Professional		$1,527.37	$2,446.35	$6,452.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,982.53 / $1,982.53 / $7,004.02	Facility		$1,982.53	$1,982.53	$7,004.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,400.09 / $2,186.73 / $4,315.02	Professional		$1,400.09	$2,186.73	$4,315.02