Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,372.85 / $4,673.04 / $10,674.00	Facility		$2,372.85	$4,673.04	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,403.63 / $2,756.18 / $5,243.97	Professional		$2,403.63	$2,756.18	$5,243.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,017.00 / $17,122.00	Facility		$4,760.00	$10,017.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,094.28 / $2,737.63 / $6,392.20	Professional		$2,094.28	$2,737.63	$6,392.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,720.45 / $3,720.45 / $37,499.62	Facility		$3,720.45	$3,720.45	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,720.45 / $3,720.45 / $3,720.45	Professional		$3,720.45	$3,720.45	$3,720.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,983.13 / $2,983.13 / $2,983.13	Facility		$2,983.13	$2,983.13	$2,983.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,613.98 / $4,004.22 / $9,967.96	Professional		$2,613.98	$4,004.22	$9,967.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,033.82 / $6,981.62	Facility		$332.00	$4,033.82	$6,981.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,855.42 / $4,050.78 / $5,988.67	Professional		$2,855.42	$4,050.78	$5,988.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,452.06 / $2,452.06 / $2,452.06	Facility		$2,452.06	$2,452.06	$2,452.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,129.23 / $3,432.89 / $5,523.57	Professional		$2,129.23	$3,432.89	$5,523.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,983.13	Facility		$555.00	$597.00	$2,983.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,749.10 / $3,999.53 / $9,660.06	Professional		$2,749.10	$3,999.53	$9,660.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,356.37 / $3,337.71 / $8,154.00	Professional		$2,356.37	$3,337.71	$8,154.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,408.77 / $4,408.77 / $12,432.60	Facility		$4,408.77	$4,408.77	$12,432.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,291.10 / $3,678.58 / $6,618.92	Professional		$2,291.10	$3,678.58	$6,618.92