Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,893.39 / $5,164.00 / $11,396.00	Facility		$1,893.39	$5,164.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,963.19 / $2,472.46 / $5,799.83	Professional		$1,963.19	$2,472.46	$5,799.83
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 $1,820.44 / $2,379.67 / $5,372.61	Professional		$1,820.44	$2,379.67	$5,372.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,057.04 / $3,057.04 / $37,499.62	Facility		$3,057.04	$3,057.04	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,057.04 / $3,057.04 / $3,057.04	Professional		$3,057.04	$3,057.04	$3,057.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,528.87 / $2,528.87 / $2,528.87	Facility		$2,528.87	$2,528.87	$2,528.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,144.19 / $3,359.41 / $10,252.84	Professional		$2,144.19	$3,359.41	$10,252.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,585.10 / $6,904.43	Facility		$332.00	$3,585.10	$6,904.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,314.57 / $3,322.46 / $5,089.16	Professional		$2,314.57	$3,322.46	$5,089.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,959.07 / $1,959.07 / $1,959.07	Facility		$1,959.07	$1,959.07	$1,959.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,670.80 / $2,148.42 / $4,590.89	Professional		$1,670.80	$2,148.42	$4,590.89
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 $2,177.37 / $3,353.97 / $9,598.59	Professional		$2,177.37	$3,353.97	$9,598.59
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 $1,919.38 / $3,023.28 / $7,169.70	Professional		$1,919.38	$3,023.28	$7,169.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,527.55 / $2,527.55 / $8,481.15	Facility		$2,527.55	$2,527.55	$8,481.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,670.80 / $2,706.61 / $5,501.28	Professional		$1,670.80	$2,706.61	$5,501.28