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 $1,630.80 / $2,057.34 / $4,822.17	Professional		$1,630.80	$2,057.34	$4,822.17
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 $1,513.47 / $1,978.40 / $4,470.62	Professional		$1,513.47	$1,978.40	$4,470.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,566.12 / $2,566.12 / $37,499.62	Facility		$2,566.12	$2,566.12	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,566.12 / $2,566.12 / $2,566.12	Professional		$2,566.12	$2,566.12	$2,566.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,122.21 / $2,122.21 / $2,122.21	Facility		$2,122.21	$2,122.21	$2,122.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,794.01 / $2,834.61 / $8,502.42	Professional		$1,794.01	$2,834.61	$8,502.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,060.00 / $5,255.66	Facility		$332.00	$2,060.00	$5,255.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,039.61 / $2,928.13 / $4,508.18	Professional		$2,039.61	$2,928.13	$4,508.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,713.72 / $1,713.72 / $1,713.72	Facility		$1,713.72	$1,713.72	$1,713.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,475.19 / $2,129.69 / $3,868.25	Professional		$1,475.19	$2,129.69	$3,868.25
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 $1,845.52 / $2,824.93 / $7,994.89	Professional		$1,845.52	$2,824.93	$7,994.89
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 $1,630.74 / $2,582.63 / $6,245.87	Professional		$1,630.74	$2,582.63	$6,245.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,129.69 / $2,129.69 / $7,598.23	Facility		$2,129.69	$2,129.69	$7,598.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,475.19 / $2,349.86 / $4,635.34	Professional		$1,475.19	$2,349.86	$4,635.34