Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,398.83 / $3,388.44	Facility		$1,000.00	$2,398.83	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,691.53	Professional		$1,202.26	$1,659.59	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $6,025.60	Facility		$3,019.95	$3,019.95	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,778.28 / $4,570.88	Professional		$1,737.80	$1,778.28	$4,570.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,454.71 / $2,454.71	Facility		$2,290.87	$2,454.71	$2,454.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,128.61 / $50,118.72	Facility		$1,819.70	$5,128.61	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,235.94	Professional		$1,318.26	$1,318.26	$3,235.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,011.87 / $11,481.54	Facility		$3,019.95	$5,011.87	$11,481.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $5,754.40	Professional		$1,862.09	$3,311.31	$5,754.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,137.96	Facility		$2,041.74	$2,041.74	$2,137.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $2,041.74	Professional		$1,778.28	$1,905.46	$2,041.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $50,118.72 / $75,857.76	Facility		$4,365.16	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,884.03 / $2,884.03	Professional		$1,949.84	$2,884.03	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $3,981.07	Facility		$1,202.26	$2,137.96	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,570.40	Professional		$977.24	$1,548.82	$2,570.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $2,137.96	Facility		$1,778.28	$1,862.09	$2,137.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $2,041.74	Professional		$1,778.28	$1,905.46	$2,041.74