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 $1,697.35 / $2,135.73 / $4,235.89	Professional		$1,697.35	$2,135.73	$4,235.89
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 $1,568.05 / $2,049.75 / $4,650.68	Professional		$1,568.05	$2,049.75	$4,650.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,638.78 / $2,638.78 / $37,499.62	Facility		$2,638.78	$2,638.78	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,638.78 / $2,638.78 / $2,638.78	Professional		$2,638.78	$2,638.78	$2,638.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,182.87 / $2,182.87 / $2,182.87	Facility		$2,182.87	$2,182.87	$2,182.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,875.44 / $3,022.27 / $8,831.09	Professional		$1,875.44	$3,022.27	$8,831.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,661.00 / $15,064.00	Facility		$332.00	$3,661.00	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,094.31 / $3,000.73 / $4,635.93	Professional		$2,094.31	$3,000.73	$4,635.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,758.64 / $1,758.64 / $1,758.64	Facility		$1,758.64	$1,758.64	$1,758.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,530.16 / $2,185.42 / $3,969.47	Professional		$1,530.16	$2,185.42	$3,969.47
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 $1,944.78 / $2,999.82 / $8,757.06	Professional		$1,944.78	$2,999.82	$8,757.06
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 $1,685.92 / $2,669.16 / $6,169.97	Professional		$1,685.92	$2,669.16	$6,169.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,185.42 / $2,185.42 / $7,952.51	Facility		$2,185.42	$2,185.42	$7,952.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,546.67 / $2,411.44 / $4,756.63	Professional		$1,546.67	$2,411.44	$4,756.63