Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,144.89 / $5,228.00 / $11,396.00	Facility		$2,144.89	$5,228.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,221.17 / $2,799.46 / $5,559.40	Professional		$2,221.17	$2,799.46	$5,559.40
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 $2,063.54 / $2,697.45 / $6,060.67	Professional		$2,063.54	$2,697.45	$6,060.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,463.26 / $3,463.26 / $37,499.62	Facility		$3,463.26	$3,463.26	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,463.26 / $3,463.26 / $3,463.26	Professional		$3,463.26	$3,463.26	$3,463.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,864.64 / $2,864.64 / $2,864.64	Facility		$2,864.64	$2,864.64	$2,864.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,440.80 / $3,896.73 / $11,632.27	Professional		$2,440.80	$3,896.73	$11,632.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,208.80 / $8,037.58	Facility		$332.00	$4,208.80	$8,037.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,740.68 / $3,917.23 / $6,077.45	Professional		$2,740.68	$3,917.23	$6,077.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,299.89 / $2,299.89 / $2,299.89	Facility		$2,299.89	$2,299.89	$2,299.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,918.55 / $2,859.56 / $5,193.93	Professional		$1,918.55	$2,859.56	$5,193.93
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 $2,487.54 / $3,877.44 / $10,899.82	Professional		$2,487.54	$3,877.44	$10,899.82
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 $2,170.15 / $3,473.28 / $8,456.48	Professional		$2,170.15	$3,473.28	$8,456.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,859.56 / $2,859.56 / $9,772.61	Facility		$2,859.56	$2,859.56	$9,772.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,002.17 / $3,153.61 / $6,223.91	Professional		$2,002.17	$3,153.61	$6,223.91