Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,456.55 / $5,284.08 / $10,296.00	Facility		$2,456.55	$5,284.08	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,456.55 / $3,574.25 / $7,311.99	Professional		$2,456.55	$3,574.25	$7,311.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $16,411.00	Facility		$4,989.00	$9,720.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,494.59 / $3,260.91 / $7,652.81	Professional		$2,494.59	$3,260.91	$7,652.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,257.14 / $4,257.14 / $37,499.62	Facility		$4,257.14	$4,257.14	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,257.14 / $4,257.14 / $4,257.14	Professional		$4,257.14	$4,257.14	$4,257.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,444.47 / $3,444.47 / $7,227.90	Facility		$3,444.47	$3,444.47	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,911.04 / $5,438.83 / $11,254.25	Professional		$2,911.04	$5,438.83	$11,254.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,851.50 / $8,021.72	Facility		$319.00	$2,851.50	$8,021.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,502.07 / $4,349.56 / $6,167.81	Professional		$3,502.07	$4,349.56	$6,167.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,207.64 / $3,203.81 / $5,495.11	Professional		$2,207.64	$3,203.81	$5,495.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,444.47 / $7,227.90	Facility		$555.00	$3,444.47	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,914.56 / $5,155.85 / $11,191.44	Professional		$2,914.56	$5,155.85	$11,191.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,529.28 / $3,783.42 / $10,781.63	Professional		$2,529.28	$3,783.42	$10,781.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,203.81 / $3,203.81 / $8,677.79	Facility		$3,203.81	$3,203.81	$8,677.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,207.64 / $3,682.20 / $6,968.02	Professional		$2,207.64	$3,682.20	$6,968.02