Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.00 / $5,164.00 / $11,396.00	Facility		$2,626.00	$5,164.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,537.38 / $2,949.38 / $5,402.34	Professional		$2,537.38	$2,949.38	$5,402.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,337.60 / $3,055.69 / $6,937.53	Professional		$2,337.60	$3,055.69	$6,937.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,963.94 / $3,963.94 / $37,499.62	Facility		$3,963.94	$3,963.94	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,963.94 / $3,963.94 / $3,963.94	Professional		$3,963.94	$3,963.94	$3,963.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,176.17 / $3,176.17 / $3,176.17	Facility		$3,176.17	$3,176.17	$3,176.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.77 / $4,294.16 / $10,619.25	Professional		$2,784.77	$4,294.16	$10,619.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,984.75 / $7,416.05	Facility		$332.00	$2,984.75	$7,416.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,032.54 / $4,302.00 / $6,361.32	Professional		$3,032.54	$4,302.00	$6,361.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,604.15 / $2,604.15 / $2,604.15	Facility		$2,604.15	$2,604.15	$2,604.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,261.61 / $3,325.90 / $5,866.97	Professional		$2,261.61	$3,325.90	$5,866.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $3,176.17	Facility		$555.00	$597.00	$3,176.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,784.77 / $4,243.63 / $9,873.37	Professional		$2,784.77	$4,243.63	$9,873.37
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 $2,518.48 / $3,637.82 / $9,111.94	Professional		$2,518.48	$3,637.82	$9,111.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,325.90 / $3,325.90 / $11,755.38	Facility		$3,325.90	$3,325.90	$11,755.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,265.04 / $3,629.15 / $7,030.42	Professional		$2,265.04	$3,629.15	$7,030.42