Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.81 / $5,164.00 / $11,396.00	Facility		$1,870.81	$5,164.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,935.90 / $2,443.11 / $4,415.60	Professional		$1,935.90	$2,443.11	$4,415.60
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 $1,797.65 / $2,349.87 / $5,297.64	Professional		$1,797.65	$2,349.87	$5,297.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,019.63 / $3,019.63 / $37,499.62	Facility		$3,019.63	$3,019.63	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,019.63 / $3,019.63 / $3,019.63	Professional		$3,019.63	$3,019.63	$3,019.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,498.52 / $2,498.52 / $2,498.52	Facility		$2,498.52	$2,498.52	$2,498.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,151.10 / $3,451.49 / $10,129.16	Professional		$2,151.10	$3,451.49	$10,129.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,676.95 / $7,153.55	Facility		$332.00	$3,676.95	$7,153.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,393.65 / $3,425.12 / $5,303.62	Professional		$2,393.65	$3,425.12	$5,303.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.26 / $2,009.26 / $2,009.26	Facility		$2,009.26	$2,009.26	$2,009.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,660.59 / $2,122.94 / $4,536.46	Professional		$1,660.59	$2,122.94	$4,536.46
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 $2,205.21 / $3,427.10 / $9,545.45	Professional		$2,205.21	$3,427.10	$9,545.45
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 $1,923.59 / $3,067.90 / $7,702.97	Professional		$1,923.59	$3,067.90	$7,702.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,497.58 / $2,497.58 / $8,589.19	Facility		$2,497.58	$2,497.58	$8,589.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,660.59 / $2,755.09 / $5,436.06	Professional		$1,660.59	$2,755.09	$5,436.06