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 $2,482.28 / $3,120.11 / $7,722.81	Professional		$2,482.28	$3,120.11	$7,722.81
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 $2,301.30 / $3,008.24 / $6,844.73	Professional		$2,301.30	$3,008.24	$6,844.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,861.29 / $3,861.29 / $37,499.62	Facility		$3,861.29	$3,861.29	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,861.29 / $3,861.29 / $3,861.29	Professional		$3,861.29	$3,861.29	$3,861.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,193.94 / $3,193.94 / $3,193.94	Facility		$3,193.94	$3,193.94	$3,193.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,757.35 / $4,443.24 / $12,983.87	Professional		$2,757.35	$4,443.24	$12,983.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,870.00 / $15,064.00	Facility		$332.00	$4,870.00	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,053.77 / $4,360.89 / $6,776.46	Professional		$3,053.77	$4,360.89	$6,776.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,561.79 / $2,561.79 / $2,561.79	Facility		$2,561.79	$2,561.79	$2,561.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,230.17 / $2,707.44 / $5,785.43	Professional		$2,230.17	$2,707.44	$5,785.43
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 $2,846.22 / $4,420.64 / $12,887.85	Professional		$2,846.22	$4,420.64	$12,887.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $7,719.00 / $18,284.00	Facility		$2,444.00	$7,719.00	$18,284.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,478.02 / $3,880.81 / $9,101.81	Professional		$2,478.02	$3,880.81	$9,101.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,185.22 / $3,185.22 / $11,621.34	Facility		$3,185.22	$3,185.22	$11,621.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,255.30 / $3,512.72 / $6,932.71	Professional		$2,255.30	$3,512.72	$6,932.71