Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.00 / $4,792.00 / $11,396.00	Facility		$1,548.00	$4,792.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.15 / $1,552.65 / $3,140.68	Professional		$1,167.15	$1,552.65	$3,140.68
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 $1,615.11 / $2,086.12 / $3,290.85	Professional		$1,615.11	$2,086.12	$3,290.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,917.89 / $1,917.89 / $37,499.62	Facility		$1,917.89	$1,917.89	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,917.89 / $1,917.89 / $1,917.89	Professional		$1,917.89	$1,917.89	$1,917.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,585.07 / $1,585.07 / $1,585.07	Facility		$1,585.07	$1,585.07	$1,585.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,357.82 / $2,115.51 / $6,393.72	Professional		$1,357.82	$2,115.51	$6,393.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,575.00 / $15,064.00	Facility		$332.00	$2,575.00	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,525.16 / $2,152.84 / $3,370.94	Professional		$1,525.16	$2,152.84	$3,370.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,281.45 / $1,281.45 / $1,281.45	Facility		$1,281.45	$1,281.45	$1,281.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.57 / $1,591.04 / $2,889.86	Professional		$1,044.57	$1,591.04	$2,889.86
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 $1,375.34 / $2,086.09 / $5,979.39	Professional		$1,375.34	$2,086.09	$5,979.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $19,689.00	Facility		$2,673.00	$7,719.00	$19,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.08 / $1,807.31 / $4,331.17	Professional		$1,196.08	$1,807.31	$4,331.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,591.04 / $1,591.04 / $5,857.95	Facility		$1,591.04	$1,591.04	$5,857.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,100.58 / $1,757.13 / $3,462.93	Professional		$1,100.58	$1,757.13	$3,462.93