Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,570.42 / $10,296.00	Facility		$2,220.00	$5,570.42	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,553.76 / $4,141.22 / $7,425.93	Professional		$3,553.76	$4,141.22	$7,425.93
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 $3,264.72 / $4,267.60 / $9,444.90	Professional		$3,264.72	$4,267.60	$9,444.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,551.91 / $5,551.91 / $37,499.62	Facility		$5,551.91	$5,551.91	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,551.91 / $5,551.91 / $5,551.91	Professional		$5,551.91	$5,551.91	$5,551.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,449.92 / $4,449.92 / $4,449.92	Facility		$4,449.92	$4,449.92	$4,449.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,902.00 / $6,261.74 / $15,208.85	Professional		$3,902.00	$6,261.74	$15,208.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,959.00 / $10,391.31	Facility		$332.00	$4,959.00	$10,391.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,249.13 / $6,028.03 / $8,913.43	Professional		$4,249.13	$6,028.03	$8,913.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,648.89 / $3,648.89 / $3,648.89	Facility		$3,648.89	$3,648.89	$3,648.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,169.53 / $4,661.07 / $8,222.24	Professional		$3,169.53	$4,661.07	$8,222.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $4,449.92	Facility		$555.00	$597.00	$4,449.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,132.97 / $6,085.24 / $14,037.44	Professional		$4,132.97	$6,085.24	$14,037.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $18,532.00	Facility		$2,673.00	$7,719.00	$18,532.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,640.18 / $5,094.05 / $12,760.45	Professional		$3,640.18	$5,094.05	$12,760.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,661.07 / $4,661.07 / $19,575.25	Facility		$4,661.07	$4,661.07	$19,575.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,446.43 / $5,085.09 / $9,852.75	Professional		$3,446.43	$5,085.09	$9,852.75