Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,121.85 / $2,872.73 / $11,609.00	Facility		$2,121.85	$2,872.73	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,820.69 / $2,251.52 / $3,892.00	Professional		$1,820.69	$2,251.52	$3,892.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.00 / $7,631.00 / $14,193.00	Facility		$4,464.00	$7,631.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,001.36 / $2,485.35 / $5,198.97	Professional		$2,001.36	$2,485.35	$5,198.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,505.84 / $2,505.84 / $13,009.50	Facility		$2,505.84	$2,505.84	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,505.84 / $2,505.84 / $3,025.30	Professional		$2,505.84	$2,505.84	$3,025.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,013.24 / $3,013.24 / $3,013.24	Facility		$3,013.24	$3,013.24	$3,013.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.76 / $3,362.95 / $7,520.53	Professional		$1,891.76	$3,362.95	$7,520.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,152.80 / $4,452.43	Facility		$319.00	$2,152.80	$4,452.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,496.34 / $3,369.70 / $4,712.17	Professional		$2,496.34	$3,369.70	$4,712.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,021.91 / $2,021.91 / $2,021.91	Facility		$2,021.91	$2,021.91	$2,021.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,617.53 / $2,548.34 / $4,495.33	Professional		$1,617.53	$2,548.34	$4,495.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $3,013.24	Facility		$555.00	$597.00	$3,013.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,026.74 / $3,417.96 / $7,737.12	Professional		$2,026.74	$3,417.96	$7,737.12
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 $2,006.35 / $2,786.60 / $6,608.45	Professional		$2,006.35	$2,786.60	$6,608.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,089.10 / $2,089.10 / $11,312.36	Facility		$2,089.10	$2,089.10	$11,312.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,732.87 / $2,817.73 / $4,495.33	Professional		$1,732.87	$2,817.73	$4,495.33