Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,951.00 / $10,296.00	Facility		$1,819.00	$3,951.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,606.80 / $1,880.51 / $3,442.26	Professional		$1,606.80	$1,880.51	$3,442.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,460.00 / $1,908.50 / $4,495.14	Professional		$1,460.00	$1,908.50	$4,495.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,496.94 / $2,496.94 / $13,477.50	Facility		$2,496.94	$2,496.94	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,496.94 / $2,496.94 / $2,496.94	Professional		$2,496.94	$2,496.94	$2,496.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,004.00 / $2,004.00 / $2,004.00	Facility		$2,004.00	$2,004.00	$2,004.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.47 / $2,890.65 / $6,855.40	Professional		$1,784.47	$2,890.65	$6,855.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,852.00 / $4,701.97	Facility		$332.00	$2,852.00	$4,701.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,923.56 / $2,728.76 / $4,033.26	Professional		$1,923.56	$2,728.76	$4,033.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.83 / $1,651.83 / $1,651.83	Facility		$1,651.83	$1,651.83	$1,651.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,459.78 / $2,109.13 / $3,720.55	Professional		$1,459.78	$2,109.13	$3,720.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,004.00	Facility		$555.00	$597.00	$2,004.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,849.23 / $2,813.46 / $6,349.70	Professional		$1,849.23	$2,813.46	$6,349.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,578.05 / $2,349.67 / $5,805.92	Professional		$1,578.05	$2,349.67	$5,805.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,109.13 / $2,109.13 / $11,218.15	Facility		$2,109.13	$2,109.13	$11,218.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,651.83 / $2,301.98 / $4,458.35	Professional		$1,651.83	$2,301.98	$4,458.35