Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,019.95 / $4,265.80	Facility		$1,380.38	$3,019.95	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $3,235.94	Professional		$1,548.82	$2,089.30	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $7,585.78	Facility		$3,801.89	$3,801.89	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $6,456.54	Professional		$2,238.72	$2,238.72	$6,456.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,090.30 / $3,090.30	Facility		$2,884.03	$3,090.30	$3,090.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,606.93 / $50,118.72	Facility		$2,691.53	$6,606.93	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,715.35	Professional		$1,995.26	$1,995.26	$3,715.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,309.57 / $14,454.40	Facility		$3,801.89	$6,309.57	$14,454.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,168.69 / $7,413.10	Professional		$2,344.23	$4,168.69	$7,413.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,344.23	Facility		$2,238.72	$2,238.72	$2,344.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,398.83	Professional		$2,238.72	$2,238.72	$2,398.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $3,630.78	Professional		$2,454.71	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,090.30 / $5,011.87	Facility		$1,513.56	$3,090.30	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $3,162.28	Professional		$1,230.27	$1,995.26	$3,162.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,344.23	Facility		$2,238.72	$2,238.72	$2,344.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,398.83	Professional		$2,238.72	$2,238.72	$2,398.83