Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,465.00 / $4,869.05 / $10,674.00	Facility		$2,465.00	$4,869.05	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,329.41 / $2,841.76 / $4,929.26	Professional		$2,329.41	$2,841.76	$4,929.26
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 $2,177.38 / $2,846.25 / $6,119.82	Professional		$2,177.38	$2,846.25	$6,119.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,873.98 / $3,873.98 / $37,499.62	Facility		$3,873.98	$3,873.98	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,873.98 / $3,873.98 / $3,873.98	Professional		$3,873.98	$3,873.98	$3,873.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,106.91 / $3,106.91 / $3,106.91	Facility		$3,106.91	$3,106.91	$3,106.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,644.07 / $3,914.46 / $10,345.69	Professional		$2,644.07	$3,914.46	$10,345.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,730.00 / $7,272.02	Facility		$332.00	$3,730.00	$7,272.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,974.57 / $4,219.51 / $6,237.78	Professional		$2,974.57	$4,219.51	$6,237.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,554.37 / $2,554.37 / $2,554.37	Facility		$2,554.37	$2,554.37	$2,554.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,013.48 / $3,576.12 / $5,755.24	Professional		$2,013.48	$3,576.12	$5,755.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $3,106.91	Facility		$555.00	$597.00	$3,106.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,776.02 / $3,951.55 / $9,677.52	Professional		$2,776.02	$3,951.55	$9,677.52
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 $2,451.83 / $3,601.26 / $9,028.60	Professional		$2,451.83	$3,601.26	$9,028.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,593.68 / $4,593.68 / $11,700.20	Facility		$4,593.68	$4,593.68	$11,700.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,148.09 / $3,832.06 / $6,896.54	Professional		$2,148.09	$3,832.06	$6,896.54