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 $2,688.50 / $3,387.58 / $6,441.89	Professional		$2,688.50	$3,387.58	$6,441.89
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 $2,499.10 / $3,266.80 / $7,420.12	Professional		$2,499.10	$3,266.80	$7,420.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,192.16 / $4,192.16 / $37,499.62	Facility		$4,192.16	$4,192.16	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,192.16 / $4,192.16 / $4,192.16	Professional		$4,192.16	$4,192.16	$4,192.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.87 / $3,467.87 / $3,467.87	Facility		$3,467.87	$3,467.87	$3,467.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,997.27 / $4,828.62 / $14,270.34	Professional		$2,997.27	$4,828.62	$14,270.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $5,837.31 / $15,064.00	Facility		$332.00	$5,837.31	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,313.97 / $4,729.89 / $7,356.72	Professional		$3,313.97	$4,729.89	$7,356.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.68 / $2,779.68 / $2,779.68	Facility		$2,779.68	$2,779.68	$2,779.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,419.84 / $3,456.10 / $6,277.45	Professional		$2,419.84	$3,456.10	$6,277.45
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 $3,110.97 / $4,781.14 / $14,005.68	Professional		$3,110.97	$4,781.14	$14,005.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $18,532.00	Facility		$2,673.00	$7,719.00	$18,532.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,695.51 / $4,228.27 / $10,249.34	Professional		$2,695.51	$4,228.27	$10,249.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,456.10 / $3,456.10 / $12,817.77	Facility		$3,456.10	$3,456.10	$12,817.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,483.40 / $3,811.49 / $7,522.30	Professional		$2,483.40	$3,811.49	$7,522.30