Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,978.66 / $4,046.88 / $10,296.00	Facility		$1,978.66	$4,046.88	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,898.65 / $2,338.21 / $4,264.45	Professional		$1,898.65	$2,338.21	$4,264.45
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 $1,889.83 / $2,349.48 / $4,716.03	Professional		$1,889.83	$2,349.48	$4,716.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,202.36 / $3,202.36 / $13,477.50	Facility		$3,202.36	$3,202.36	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,202.36 / $3,202.36 / $3,202.36	Professional		$3,202.36	$3,202.36	$3,202.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,513.88 / $2,513.88 / $2,513.88	Facility		$2,513.88	$2,513.88	$2,513.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,124.90 / $3,082.73 / $8,232.49	Professional		$2,124.90	$3,082.73	$8,232.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,387.35 / $5,890.34	Facility		$332.00	$2,387.35	$5,890.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,429.05 / $3,393.69 / $5,052.60	Professional		$2,429.05	$3,393.69	$5,052.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,085.92 / $2,085.92 / $2,085.92	Facility		$2,085.92	$2,085.92	$2,085.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,618.68 / $2,664.46 / $4,700.17	Professional		$1,618.68	$2,664.46	$4,700.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,513.88	Facility		$555.00	$597.00	$2,513.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,203.17 / $3,191.49 / $7,725.83	Professional		$2,203.17	$3,191.49	$7,725.83
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 $1,968.15 / $2,823.03 / $6,681.60	Professional		$1,968.15	$2,823.03	$6,681.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,664.46 / $2,664.46 / $8,889.51	Facility		$2,664.46	$2,664.46	$8,889.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,711.31 / $2,906.94 / $5,632.24	Professional		$1,711.31	$2,906.94	$5,632.24