Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,932.29 / $10,296.00	Facility		$2,220.00	$4,932.29	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,377.17 / $2,883.14 / $5,263.36	Professional		$2,377.17	$2,883.14	$5,263.36
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 $2,081.12 / $2,720.42 / $6,420.44	Professional		$2,081.12	$2,720.42	$6,420.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,925.75 / $3,925.75 / $37,499.62	Facility		$3,925.75	$3,925.75	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,925.75 / $3,925.75 / $3,925.75	Professional		$3,925.75	$3,925.75	$3,925.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,145.79 / $3,145.79 / $3,145.79	Facility		$3,145.79	$3,145.79	$3,145.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,661.95 / $3,970.05 / $10,478.17	Professional		$2,661.95	$3,970.05	$10,478.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,967.78 / $7,367.83	Facility		$332.00	$2,967.78	$7,367.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,013.04 / $4,217.35 / $6,319.96	Professional		$3,013.04	$4,217.35	$6,319.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,587.41 / $2,587.41 / $2,587.41	Facility		$2,587.41	$2,587.41	$2,587.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,984.09 / $3,299.39 / $5,829.99	Professional		$1,984.09	$3,299.39	$5,829.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $3,145.79	Facility		$555.00	$597.00	$3,145.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,779.78 / $4,078.53 / $9,542.48	Professional		$2,779.78	$4,078.53	$9,542.48
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 $2,389.33 / $3,346.39 / $8,292.60	Professional		$2,389.33	$3,346.39	$8,292.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,304.94 / $3,304.94 / $11,666.14	Facility		$3,304.94	$3,304.94	$11,666.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,247.36 / $3,437.14 / $6,986.11	Professional		$2,247.36	$3,437.14	$6,986.11