Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,016.11 / $5,226.34 / $11,396.00	Facility		$2,016.11	$5,226.34	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.06 / $2,632.04 / $5,778.25	Professional		$2,089.06	$2,632.04	$5,778.25
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 $1,939.18 / $2,534.88 / $5,757.82	Professional		$1,939.18	$2,534.88	$5,757.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,255.78 / $3,255.78 / $37,499.62	Facility		$3,255.78	$3,255.78	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,255.78 / $3,255.78 / $3,255.78	Professional		$3,255.78	$3,255.78	$3,255.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,692.04 / $2,692.04 / $2,692.04	Facility		$2,692.04	$2,692.04	$2,692.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,303.14 / $3,702.59 / $10,925.31	Professional		$2,303.14	$3,702.59	$10,925.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,959.13 / $7,944.16	Facility		$332.00	$3,959.13	$7,944.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,577.73 / $3,686.22 / $5,714.00	Professional		$2,577.73	$3,686.22	$5,714.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,163.46 / $2,163.46 / $2,163.46	Facility		$2,163.46	$2,163.46	$2,163.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,866.55 / $2,285.65 / $4,884.13	Professional		$1,866.55	$2,285.65	$4,884.13
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 $2,370.28 / $3,701.86 / $10,454.81	Professional		$2,370.28	$3,701.86	$10,454.81
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 $1,973.58 / $3,170.71 / $7,542.55	Professional		$1,973.58	$3,170.71	$7,542.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,689.00 / $2,689.00 / $9,410.79	Facility		$2,689.00	$2,689.00	$9,410.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,866.55 / $2,815.19 / $5,852.68	Professional		$1,866.55	$2,815.19	$5,852.68