Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,465.00 / $5,168.00 / $10,674.00	Facility		$2,465.00	$5,168.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,207.03 / $3,970.53 / $7,228.19	Professional		$3,207.03	$3,970.53	$7,228.19
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 $3,124.95 / $3,962.36 / $7,994.97	Professional		$3,124.95	$3,962.36	$7,994.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,405.09 / $5,405.09 / $37,499.62	Facility		$5,405.09	$5,405.09	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,405.09 / $5,405.09 / $5,405.09	Professional		$5,405.09	$5,405.09	$5,405.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,298.76 / $4,298.76 / $4,298.76	Facility		$4,298.76	$4,298.76	$4,298.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,719.58 / $5,540.46 / $14,456.23	Professional		$3,719.58	$5,540.46	$14,456.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $5,626.00 / $10,053.99	Facility		$332.00	$5,626.00	$10,053.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,456.85 / $5,905.21 / $8,624.09	Professional		$4,456.85	$5,905.21	$8,624.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,531.05 / $3,531.05 / $3,531.05	Facility		$3,531.05	$3,531.05	$3,531.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,824.84 / $4,524.97 / $7,982.18	Professional		$2,824.84	$4,524.97	$7,982.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $4,298.76	Facility		$555.00	$597.00	$4,298.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,798.17 / $5,540.46 / $13,162.97	Professional		$3,798.17	$5,540.46	$13,162.97
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 $3,395.97 / $4,734.55 / $11,848.57	Professional		$3,395.97	$4,734.55	$11,848.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,524.97 / $4,524.97 / $17,846.93	Facility		$4,524.97	$4,524.97	$17,846.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,905.87 / $4,920.88 / $9,565.08	Professional		$2,905.87	$4,920.88	$9,565.08