Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,242.69 / $5,228.00 / $11,396.00	Facility		$2,242.69	$5,228.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,329.92 / $2,926.61 / $7,237.06	Professional		$2,329.92	$2,926.61	$7,237.06
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 $2,157.52 / $2,820.29 / $6,406.77	Professional		$2,157.52	$2,820.29	$6,406.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,620.10 / $3,620.10 / $37,499.62	Facility		$3,620.10	$3,620.10	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,620.10 / $3,620.10 / $3,620.10	Professional		$3,620.10	$3,620.10	$3,620.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,995.12 / $2,995.12 / $2,995.12	Facility		$2,995.12	$2,995.12	$2,995.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,584.41 / $4,209.56 / $12,237.15	Professional		$2,584.41	$4,209.56	$12,237.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $5,048.38 / $15,064.00	Facility		$332.00	$5,048.38	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,865.37 / $4,149.72 / $6,982.09	Professional		$2,865.37	$4,149.72	$6,982.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,403.98 / $2,403.98 / $2,403.98	Facility		$2,403.98	$2,403.98	$2,403.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,092.54 / $2,988.64 / $5,428.38	Professional		$2,092.54	$2,988.64	$5,428.38
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 $2,692.07 / $4,142.85 / $12,072.38	Professional		$2,692.07	$4,142.85	$12,072.38
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 $2,320.65 / $3,876.73 / $9,294.95	Professional		$2,320.65	$3,876.73	$9,294.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,988.64 / $2,988.64 / $11,275.13	Facility		$2,988.64	$2,988.64	$11,275.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,143.42 / $3,296.35 / $6,504.85	Professional		$2,143.42	$3,296.35	$6,504.85