Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,141.91 / $4,374.55 / $10,296.00	Facility		$2,141.91	$4,374.55	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,132.17 / $2,531.44 / $4,609.74	Professional		$2,132.17	$2,531.44	$4,609.74
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 $2,042.97 / $2,590.44 / $5,496.49	Professional		$2,042.97	$2,590.44	$5,496.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,461.11 / $3,461.11 / $13,477.50	Facility		$3,461.11	$3,461.11	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,461.11 / $3,461.11 / $3,461.11	Professional		$3,461.11	$3,461.11	$3,461.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,718.09 / $2,718.09 / $2,718.09	Facility		$2,718.09	$2,718.09	$2,718.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,297.46 / $3,537.34 / $8,940.96	Professional		$2,297.46	$3,537.34	$8,940.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,580.92 / $6,370.27	Facility		$332.00	$2,580.92	$6,370.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,839.02 / $3,788.99 / $5,464.27	Professional		$2,839.02	$3,788.99	$5,464.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,255.35 / $2,255.35 / $2,255.35	Facility		$2,255.35	$2,255.35	$2,255.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,804.28 / $2,879.83 / $5,080.08	Professional		$1,804.28	$2,879.83	$5,080.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,718.09	Facility		$555.00	$597.00	$2,718.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,459.57 / $3,476.01 / $8,379.74	Professional		$2,459.57	$3,476.01	$8,379.74
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 $2,181.69 / $3,065.31 / $7,404.85	Professional		$2,181.69	$3,065.31	$7,404.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,879.83 / $2,879.83 / $10,444.35	Facility		$2,879.83	$2,879.83	$10,444.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,804.28 / $3,143.06 / $6,087.49	Professional		$1,804.28	$3,143.06	$6,087.49