Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,465.00 / $4,940.00 / $10,674.00	Facility		$2,465.00	$4,940.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,594.40 / $3,067.11 / $5,535.18	Professional		$2,594.40	$3,067.11	$5,535.18
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 $2,265.12 / $2,960.95 / $6,787.73	Professional		$2,265.12	$2,960.95	$6,787.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,013.39 / $4,013.39 / $37,499.62	Facility		$4,013.39	$4,013.39	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,013.39 / $4,013.39 / $4,013.39	Professional		$4,013.39	$4,013.39	$4,013.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,218.75 / $3,218.75 / $3,218.75	Facility		$3,218.75	$3,218.75	$3,218.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,817.77 / $4,302.78 / $10,745.11	Professional		$2,817.77	$4,302.78	$10,745.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,034.30 / $7,535.16	Facility		$332.00	$3,034.30	$7,535.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,337.73 / $4,435.64 / $6,463.49	Professional		$3,337.73	$4,435.64	$6,463.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,646.08 / $2,646.08 / $2,646.08	Facility		$2,646.08	$2,646.08	$2,646.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,116.86 / $3,704.51 / $5,958.25	Professional		$2,116.86	$3,704.51	$5,958.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $3,218.75	Facility		$555.00	$597.00	$3,218.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,927.42 / $4,311.79 / $10,377.54	Professional		$2,927.42	$4,311.79	$10,377.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,545.41 / $3,741.36 / $8,892.04	Professional		$2,545.41	$3,741.36	$8,892.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,755.72 / $4,755.72 / $9,784.12	Facility		$4,755.72	$4,755.72	$9,784.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,116.86 / $3,969.64 / $7,139.80	Professional		$2,116.86	$3,969.64	$7,139.80