Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,107.57 / $5,228.00 / $11,396.00	Facility		$2,107.57	$5,228.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,102.17 / $2,750.96 / $5,462.43	Professional		$2,102.17	$2,750.96	$5,462.43
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 $2,027.80 / $2,650.73 / $5,727.43	Professional		$2,027.80	$2,650.73	$5,727.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,402.86 / $3,402.86 / $37,499.62	Facility		$3,402.86	$3,402.86	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,402.86 / $3,402.86 / $3,402.86	Professional		$3,402.86	$3,402.86	$3,402.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,814.58 / $2,814.58 / $2,814.58	Facility		$2,814.58	$2,814.58	$2,814.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,338.53 / $3,735.02 / $11,515.55	Professional		$2,338.53	$3,735.02	$11,515.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,137.59 / $8,118.89	Facility		$332.00	$4,137.59	$8,118.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,694.50 / $3,851.53 / $5,975.11	Professional		$2,694.50	$3,851.53	$5,975.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,260.98 / $2,260.98 / $2,260.98	Facility		$2,260.98	$2,260.98	$2,260.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,898.08 / $2,388.63 / $5,104.18	Professional		$1,898.08	$2,388.63	$5,104.18
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 $2,428.90 / $3,672.82 / $10,513.43	Professional		$2,428.90	$3,672.82	$10,513.43
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 $2,132.60 / $3,369.99 / $8,311.04	Professional		$2,132.60	$3,369.99	$8,311.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,810.15 / $2,810.15 / $10,095.87	Facility		$2,810.15	$2,810.15	$10,095.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,973.82 / $3,100.25 / $6,116.36	Professional		$1,973.82	$3,100.25	$6,116.36