Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,364.75 / $4,940.00 / $10,674.00	Facility		$2,364.75	$4,940.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,221.94 / $2,931.87 / $5,520.89	Professional		$2,221.94	$2,931.87	$5,520.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,261.02 / $2,866.92 / $5,741.53	Professional		$2,261.02	$2,866.92	$5,741.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,652.50 / $4,002.83 / $10,957.50	Facility		$3,652.50	$4,002.83	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,002.83 / $4,002.83 / $4,002.83	Professional		$4,002.83	$4,002.83	$4,002.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,209.63 / $3,209.63 / $3,209.63	Facility		$3,209.63	$3,209.63	$3,209.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,658.44 / $3,975.86 / $10,695.30	Professional		$2,658.44	$3,975.86	$10,695.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,024.72 / $7,511.76	Facility		$332.00	$3,024.72	$7,511.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,327.19 / $4,358.10 / $6,443.42	Professional		$3,327.19	$4,358.10	$6,443.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,637.74 / $2,637.74 / $2,637.74	Facility		$2,637.74	$2,637.74	$2,637.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,994.76 / $3,363.57 / $5,940.74	Professional		$1,994.76	$3,363.57	$5,940.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $3,209.63	Facility		$555.00	$597.00	$3,209.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,809.78 / $4,157.14 / $10,025.68	Professional		$2,809.78	$4,157.14	$10,025.68
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 $2,538.77 / $3,543.15 / $9,185.54	Professional		$2,538.77	$3,543.15	$9,185.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,741.74 / $4,741.74 / $7,890.87	Facility		$4,741.74	$4,741.74	$7,890.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,110.19 / $3,957.14 / $7,118.81	Professional		$2,110.19	$3,957.14	$7,118.81