Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,986.32 / $5,164.00 / $11,396.00	Facility		$1,986.32	$5,164.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,055.06 / $2,592.53 / $5,146.30	Professional		$2,055.06	$2,592.53	$5,146.30
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 $1,910.19 / $2,496.98 / $5,619.48	Professional		$1,910.19	$2,496.98	$5,619.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,205.92 / $3,205.92 / $37,499.62	Facility		$3,205.92	$3,205.92	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,205.92 / $3,205.92 / $3,205.92	Professional		$3,205.92	$3,205.92	$3,205.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,651.88 / $2,651.88 / $2,651.88	Facility		$2,651.88	$2,651.88	$2,651.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,277.33 / $3,520.80 / $10,772.23	Professional		$2,277.33	$3,520.80	$10,772.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,896.16 / $7,309.25	Facility		$332.00	$3,896.16	$7,309.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,537.31 / $3,626.35 / $5,626.99	Professional		$2,537.31	$3,626.35	$5,626.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,129.05 / $2,129.05 / $2,129.05	Facility		$2,129.05	$2,129.05	$2,129.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,746.58 / $2,647.16 / $4,808.14	Professional		$1,746.58	$2,647.16	$4,808.14
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 $2,328.11 / $3,519.62 / $10,087.29	Professional		$2,328.11	$3,519.62	$10,087.29
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 $2,019.62 / $3,221.71 / $7,830.50	Professional		$2,019.62	$3,221.71	$7,830.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,647.16 / $2,647.16 / $9,162.65	Facility		$2,647.16	$2,647.16	$9,162.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,853.45 / $2,919.36 / $5,761.62	Professional		$1,853.45	$2,919.36	$5,761.62