Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.96 / $5,228.00 / $11,396.00	Facility		$2,064.96	$5,228.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,120.23 / $2,694.87 / $5,349.68	Professional		$2,120.23	$2,694.87	$5,349.68
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 $1,986.16 / $2,596.30 / $5,864.29	Professional		$1,986.16	$2,596.30	$5,864.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,332.62 / $3,332.62 / $37,499.62	Facility		$3,332.62	$3,332.62	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,332.62 / $3,332.62 / $3,332.62	Professional		$3,332.62	$3,332.62	$3,332.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.33 / $2,756.33 / $2,756.33	Facility		$2,756.33	$2,756.33	$2,756.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,291.98 / $3,658.60 / $11,566.43	Professional		$2,291.98	$3,658.60	$11,566.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,049.57 / $7,790.19	Facility		$332.00	$4,049.57	$7,790.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,637.50 / $3,768.70 / $5,850.31	Professional		$2,637.50	$3,768.70	$5,850.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,212.88 / $2,212.88 / $2,212.88	Facility		$2,212.88	$2,212.88	$2,212.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,776.00 / $2,750.83 / $4,996.43	Professional		$1,776.00	$2,750.83	$4,996.43
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 $2,379.21 / $3,658.60 / $10,393.69	Professional		$2,379.21	$3,658.60	$10,393.69
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 $2,134.44 / $3,398.40 / $8,169.61	Professional		$2,134.44	$3,398.40	$8,169.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,750.83 / $2,750.83 / $9,328.33	Facility		$2,750.83	$2,750.83	$9,328.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,776.00 / $3,034.30 / $5,987.25	Professional		$1,776.00	$3,034.30	$5,987.25