Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,465.00 / $4,940.00 / $10,674.00	Facility		$2,465.00	$4,940.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,866.96 / $3,445.69 / $6,253.75	Professional		$2,866.96	$3,445.69	$6,253.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,696.54 / $3,524.90 / $7,435.67	Professional		$2,696.54	$3,524.90	$7,435.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,675.89 / $4,675.89 / $37,499.62	Facility		$4,675.89	$4,675.89	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,675.89 / $4,675.89 / $4,675.89	Professional		$4,675.89	$4,675.89	$4,675.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,714.84 / $3,714.84 / $3,714.84	Facility		$3,714.84	$3,714.84	$3,714.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,278.27 / $4,892.87 / $12,501.14	Professional		$3,278.27	$4,892.87	$12,501.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $5,000.00 / $8,695.44	Facility		$332.00	$5,000.00	$8,695.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,855.47 / $5,130.10 / $7,458.76	Professional		$3,855.47	$5,130.10	$7,458.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,053.63 / $3,053.63 / $3,053.63	Facility		$3,053.63	$3,053.63	$3,053.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,442.90 / $3,914.67 / $6,905.57	Professional		$2,442.90	$3,914.67	$6,905.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $3,714.84	Facility		$555.00	$597.00	$3,714.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,363.79 / $4,888.82 / $11,390.85	Professional		$3,363.79	$4,888.82	$11,390.85
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 $2,934.50 / $4,145.68 / $10,779.19	Professional		$2,934.50	$4,145.68	$10,779.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,914.67 / $3,914.67 / $15,232.43	Facility		$3,914.67	$3,914.67	$15,232.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,623.23 / $4,255.54 / $8,274.98	Professional		$2,623.23	$4,255.54	$8,274.98