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 $2,784.21 / $3,422.58 / $6,212.51	Professional		$2,784.21	$3,422.58	$6,212.51
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 $2,678.33 / $3,396.05 / $6,919.08	Professional		$2,678.33	$3,396.05	$6,919.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,644.87 / $4,644.87 / $37,499.62	Facility		$4,644.87	$4,644.87	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,644.87 / $4,644.87 / $4,644.87	Professional		$4,644.87	$4,644.87	$4,644.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,690.11 / $3,690.11 / $3,690.11	Facility		$3,690.11	$3,690.11	$3,690.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,094.34 / $4,507.92 / $12,371.62	Professional		$3,094.34	$4,507.92	$12,371.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,071.00 / $8,638.27	Facility		$332.00	$4,071.00	$8,638.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,829.87 / $5,095.79 / $7,409.71	Professional		$3,829.87	$5,095.79	$7,409.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,033.21 / $3,033.21 / $3,033.21	Facility		$3,033.21	$3,033.21	$3,033.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,426.57 / $3,867.86 / $6,859.39	Professional		$2,426.57	$3,867.86	$6,859.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $3,690.11	Facility		$555.00	$597.00	$3,690.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,279.98 / $4,572.68 / $11,122.86	Professional		$3,279.98	$4,572.68	$11,122.86
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 $2,900.74 / $4,101.29 / $10,081.49	Professional		$2,900.74	$4,101.29	$10,081.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,888.49 / $3,888.49 / $12,802.93	Facility		$3,888.49	$3,888.49	$12,802.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,426.57 / $4,044.03 / $8,219.64	Professional		$2,426.57	$4,044.03	$8,219.64