Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,164.00 / $11,396.00	Facility		$1,819.00	$5,164.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.54 / $1,791.77 / $3,626.13	Professional		$1,418.54	$1,791.77	$3,626.13
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 $1,311.17 / $1,713.95 / $3,885.68	Professional		$1,311.17	$1,713.95	$3,885.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,212.37 / $2,212.37 / $37,499.62	Facility		$2,212.37	$2,212.37	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,212.37 / $2,212.37 / $2,212.37	Professional		$2,212.37	$2,212.37	$2,212.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,829.03 / $1,829.03 / $1,829.03	Facility		$1,829.03	$1,829.03	$1,829.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,570.40 / $2,528.60 / $7,394.73	Professional		$1,570.40	$2,528.60	$7,394.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,099.77 / $15,064.00	Facility		$332.00	$3,099.77	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,757.37 / $2,520.55 / $3,887.25	Professional		$1,757.37	$2,520.55	$3,887.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,476.08 / $1,476.08 / $1,476.08	Facility		$1,476.08	$1,476.08	$1,476.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.49 / $1,833.62 / $3,330.48	Professional		$1,258.49	$1,833.62	$3,330.48
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 $1,615.60 / $2,500.96 / $7,183.72	Professional		$1,615.60	$2,500.96	$7,183.72
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 $1,408.34 / $2,255.46 / $5,946.22	Professional		$1,408.34	$2,255.46	$5,946.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,833.62 / $1,833.62 / $6,523.15	Facility		$1,833.62	$1,833.62	$6,523.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,258.49 / $2,024.00 / $3,990.93	Professional		$1,258.49	$2,024.00	$3,990.93