Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.11 / $4,905.00 / $11,161.00	Facility		$1,908.11	$4,905.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,805.13 / $2,176.84 / $5,406.72	Professional		$1,805.13	$2,176.84	$5,406.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,711.64 / $2,170.31 / $4,694.34	Professional		$1,711.64	$2,170.31	$4,694.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,933.13 / $2,933.13 / $10,957.50	Facility		$2,933.13	$2,933.13	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,933.13 / $2,933.13 / $2,933.13	Professional		$2,933.13	$2,933.13	$2,933.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,409.73 / $2,409.73 / $2,409.73	Facility		$2,409.73	$2,409.73	$2,409.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,957.34 / $3,083.55 / $8,440.82	Professional		$1,957.34	$3,083.55	$8,440.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,447.00 / $5,943.22	Facility		$332.00	$2,447.00	$5,943.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,308.57 / $3,259.94 / $5,097.96	Professional		$2,308.57	$3,259.94	$5,097.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,940.44 / $1,940.44 / $1,940.44	Facility		$1,940.44	$1,940.44	$1,940.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,466.98 / $2,494.76 / $4,400.81	Professional		$1,466.98	$2,494.76	$4,400.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,409.73	Facility		$555.00	$597.00	$2,409.73
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,114.10 / $3,076.33 / $7,556.25	Professional		$2,114.10	$3,076.33	$7,556.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $5,547.00 / $12,457.00	Facility		$2,705.00	$5,547.00	$12,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,812.87 / $2,699.30 / $7,337.24	Professional		$1,812.87	$2,699.30	$7,337.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,494.76 / $2,494.76 / $7,978.64	Facility		$2,494.76	$2,494.76	$7,978.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,466.98 / $2,704.20 / $5,273.52	Professional		$1,466.98	$2,704.20	$5,273.52