Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,465.00 / $4,972.00 / $10,674.00	Facility		$2,465.00	$4,972.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,877.75 / $3,550.02 / $6,460.45	Professional		$2,877.75	$3,550.02	$6,460.45
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 $2,782.51 / $3,528.16 / $7,370.76	Professional		$2,782.51	$3,528.16	$7,370.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,827.09 / $4,827.09 / $37,499.62	Facility		$4,827.09	$4,827.09	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,827.09 / $4,827.09 / $4,827.09	Professional		$4,827.09	$4,827.09	$4,827.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,837.41 / $3,837.41 / $3,837.41	Facility		$3,837.41	$3,837.41	$3,837.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,229.33 / $4,982.38 / $12,854.26	Professional		$3,229.33	$4,982.38	$12,854.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,891.00 / $8,987.24	Facility		$332.00	$4,891.00	$8,987.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,985.31 / $5,215.83 / $7,709.06	Professional		$3,985.31	$5,215.83	$7,709.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,156.12 / $3,156.12 / $3,156.12	Facility		$3,156.12	$3,156.12	$3,156.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,524.90 / $4,045.72 / $7,136.74	Professional		$2,524.90	$4,045.72	$7,136.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $3,837.41	Facility		$555.00	$597.00	$3,837.41
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,384.31 / $4,932.56 / $11,590.74	Professional		$3,384.31	$4,932.56	$11,590.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,013.32 / $4,218.12 / $10,472.31	Professional		$3,013.32	$4,218.12	$10,472.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,045.72 / $4,045.72 / $14,831.22	Facility		$4,045.72	$4,045.72	$14,831.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,607.05 / $4,398.37 / $8,552.00	Professional		$2,607.05	$4,398.37	$8,552.00