Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,910.00 / $11,396.00	Facility		$1,819.00	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.43 / $1,875.69 / $3,558.82	Professional		$1,435.43	$1,875.69	$3,558.82
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 $1,359.28 / $1,776.84 / $4,020.15	Professional		$1,359.28	$1,776.84	$4,020.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,312.32 / $2,312.32 / $37,499.62	Facility		$2,312.32	$2,312.32	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,312.32 / $2,312.32 / $2,312.32	Professional		$2,312.32	$2,312.32	$2,312.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,911.67 / $1,911.67 / $1,911.67	Facility		$1,911.67	$1,911.67	$1,911.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,591.93 / $2,546.94 / $7,622.77	Professional		$1,591.93	$2,546.94	$7,622.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,060.00 / $4,738.07	Facility		$332.00	$2,060.00	$4,738.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,840.46 / $2,645.66 / $4,064.21	Professional		$1,840.46	$2,645.66	$4,064.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.89 / $1,546.89 / $1,546.89	Facility		$1,546.89	$1,546.89	$1,546.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,271.42 / $1,921.62 / $3,490.31	Professional		$1,271.42	$1,921.62	$3,490.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $49,110.00	Facility		$555.00	$597.00	$49,110.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,659.38 / $2,539.39 / $7,177.79	Professional		$1,659.38	$2,539.39	$7,177.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,603.00	Facility		$1,749.00	$4,194.00	$9,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,437.33 / $2,300.58 / $5,584.72	Professional		$1,437.33	$2,300.58	$5,584.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,921.62 / $1,921.62 / $6,731.77	Facility		$1,921.62	$1,921.62	$6,731.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,345.45 / $2,121.10 / $4,182.46	Professional		$1,345.45	$2,121.10	$4,182.46