Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $5,324.00 / $11,396.00	Facility		$2,303.00	$5,324.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,690.92 / $3,388.37 / $6,730.86	Professional		$2,690.92	$3,388.37	$6,730.86
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 $2,499.38 / $3,267.17 / $7,420.79	Professional		$2,499.38	$3,267.17	$7,420.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,193.03 / $4,193.03 / $37,499.62	Facility		$4,193.03	$4,193.03	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,193.03 / $4,193.03 / $4,193.03	Professional		$4,193.03	$4,193.03	$4,193.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.26 / $3,468.26 / $3,468.26	Facility		$3,468.26	$3,468.26	$3,468.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,997.80 / $4,829.05 / $14,244.94	Professional		$2,997.80	$4,829.05	$14,244.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $5,145.00 / $15,064.00	Facility		$332.00	$5,145.00	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,314.31 / $4,730.38 / $7,357.37	Professional		$3,314.31	$4,730.38	$7,357.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,780.00 / $2,780.00 / $2,780.00	Facility		$2,780.00	$2,780.00	$2,780.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,420.13 / $2,938.03 / $6,278.18	Professional		$2,420.13	$2,938.03	$6,278.18
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 $3,084.19 / $4,817.62 / $14,088.17	Professional		$3,084.19	$4,817.62	$14,088.17
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 $2,696.12 / $4,131.30 / $10,983.22	Professional		$2,696.12	$4,131.30	$10,983.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,456.51 / $3,456.51 / $12,852.15	Facility		$3,456.51	$3,456.51	$12,852.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,494.67 / $3,811.93 / $7,523.18	Professional		$2,494.67	$3,811.93	$7,523.18