Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,195.96 / $5,067.00 / $11,880.00	Facility		$2,195.96	$5,067.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,001.22 / $2,287.90 / $3,912.17	Professional		$2,001.22	$2,287.90	$3,912.17
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 $1,814.11 / $2,371.39 / $5,483.27	Professional		$1,814.11	$2,371.39	$5,483.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,124.27 / $3,124.27 / $12,319.50	Facility		$3,124.27	$3,124.27	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,124.27 / $3,124.27 / $3,124.27	Professional		$3,124.27	$3,124.27	$3,124.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,486.26 / $2,486.26 / $2,486.26	Facility		$2,486.26	$2,486.26	$2,486.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,169.02 / $3,473.16 / $8,239.56	Professional		$2,169.02	$3,473.16	$8,239.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,246.00 / $5,789.68	Facility		$332.00	$3,246.00	$5,789.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,388.92 / $3,365.75 / $4,966.26	Professional		$2,388.92	$3,365.75	$4,966.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,051.46 / $2,051.46 / $2,051.46	Facility		$2,051.46	$2,051.46	$2,051.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,741.34 / $2,621.79 / $4,624.91	Professional		$1,741.34	$2,621.79	$4,624.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,486.26	Facility		$555.00	$597.00	$2,486.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,278.27 / $3,352.64 / $8,027.61	Professional		$2,278.27	$3,352.64	$8,027.61
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 $1,989.80 / $2,763.61 / $7,003.90	Professional		$1,989.80	$2,763.61	$7,003.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,621.79 / $2,621.79 / $9,831.29	Facility		$2,621.79	$2,621.79	$9,831.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,782.82 / $2,858.91 / $5,542.05	Professional		$1,782.82	$2,858.91	$5,542.05