Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,228.00 / $10,296.00	Facility		$2,220.00	$5,228.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,808.64 / $3,411.45 / $6,157.87	Professional		$2,808.64	$3,411.45	$6,157.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,037.00 / $19,299.00	Facility		$4,760.00	$10,037.00	$19,299.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,700.81 / $3,530.48 / $7,363.00	Professional		$2,700.81	$3,530.48	$7,363.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,596.60 / $4,596.60 / $37,499.62	Facility		$4,596.60	$4,596.60	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,596.60 / $4,596.60 / $4,596.60	Professional		$4,596.60	$4,596.60	$4,596.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,686.20 / $3,686.20 / $3,686.20	Facility		$3,686.20	$3,686.20	$3,686.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,229.27 / $4,805.93 / $12,282.57	Professional		$3,229.27	$4,805.93	$12,282.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,977.00 / $8,619.48	Facility		$332.00	$3,977.00	$8,619.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,524.95 / $5,000.70 / $7,393.60	Professional		$3,524.95	$5,000.70	$7,393.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,027.01 / $3,027.01 / $3,027.01	Facility		$3,027.01	$3,027.01	$3,027.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,628.76 / $3,865.82 / $6,819.40	Professional		$2,628.76	$3,865.82	$6,819.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $3,686.20	Facility		$555.00	$597.00	$3,686.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,317.26 / $5,137.58 / $11,352.27	Professional		$3,317.26	$5,137.58	$11,352.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $16,692.00	Facility		$2,705.00	$7,719.00	$16,692.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,916.02 / $4,225.46 / $9,932.23	Professional		$2,916.02	$4,225.46	$9,932.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,865.82 / $3,865.82 / $15,797.52	Facility		$3,865.82	$3,865.82	$15,797.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,658.44 / $4,218.45 / $8,171.72	Professional		$2,658.44	$4,218.45	$8,171.72