Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $5,228.00 / $11,396.00	Facility		$2,303.00	$5,228.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,441.67 / $3,068.53 / $7,593.64	Professional		$2,441.67	$3,068.53	$7,593.64
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 $2,263.31 / $2,958.58 / $6,738.22	Professional		$2,263.31	$2,958.58	$6,738.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,796.96 / $3,796.96 / $37,499.62	Facility		$3,796.96	$3,796.96	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,796.96 / $3,796.96 / $3,796.96	Professional		$3,796.96	$3,796.96	$3,796.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,140.83 / $3,140.83 / $3,140.83	Facility		$3,140.83	$3,140.83	$3,140.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,711.26 / $4,373.47 / $12,847.36	Professional		$2,711.26	$4,373.47	$12,847.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $5,290.87 / $15,064.00	Facility		$332.00	$5,290.87	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,003.13 / $4,289.17 / $6,663.31	Professional		$3,003.13	$4,289.17	$6,663.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,519.46 / $2,519.46 / $2,519.46	Facility		$2,519.46	$2,519.46	$2,519.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,193.36 / $3,132.63 / $5,689.92	Professional		$2,193.36	$3,132.63	$5,689.92
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 $2,804.88 / $4,349.96 / $12,671.27	Professional		$2,804.88	$4,349.96	$12,671.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $17,688.00	Facility		$2,705.00	$7,719.00	$17,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,393.48 / $3,814.37 / $9,762.89	Professional		$2,393.48	$3,814.37	$9,762.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,132.63 / $3,132.63 / $11,512.20	Facility		$3,132.63	$3,132.63	$11,512.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,248.21 / $3,454.68 / $6,818.26	Professional		$2,248.21	$3,454.68	$6,818.26