Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.00 / $5,164.00 / $11,396.00	Facility		$1,837.00	$5,164.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,849.33 / $2,329.82 / $5,111.66	Professional		$1,849.33	$2,329.82	$5,111.66
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 $1,714.64 / $2,241.37 / $5,092.24	Professional		$1,714.64	$2,241.37	$5,092.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,879.38 / $2,879.38 / $37,499.62	Facility		$2,879.38	$2,879.38	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,879.38 / $2,879.38 / $2,879.38	Professional		$2,879.38	$2,879.38	$2,879.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.78 / $2,381.78 / $2,381.78	Facility		$2,381.78	$2,381.78	$2,381.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,052.63 / $3,293.74 / $9,665.49	Professional		$2,052.63	$3,293.74	$9,665.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,961.00 / $15,064.00	Facility		$332.00	$3,961.00	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,281.04 / $3,262.96 / $5,055.35	Professional		$2,281.04	$3,262.96	$5,055.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,914.50 / $1,914.50 / $1,914.50	Facility		$1,914.50	$1,914.50	$1,914.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,666.44 / $2,380.06 / $4,322.99	Professional		$1,666.44	$2,380.06	$4,322.99
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 $2,113.69 / $3,269.44 / $9,577.37	Professional		$2,113.69	$3,269.44	$9,577.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,202.00	Facility		$1,749.00	$4,194.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,802.02 / $2,842.24 / $6,663.47	Professional		$1,802.02	$2,842.24	$6,663.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,380.06 / $2,380.06 / $8,497.07	Facility		$2,380.06	$2,380.06	$8,497.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,684.85 / $2,625.16 / $5,180.26	Professional		$1,684.85	$2,625.16	$5,180.26