Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $5,324.00 / $10,296.00	Facility		$2,559.00	$5,324.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,788.42 / $4,131.05 / $8,429.66	Professional		$2,788.42	$4,131.05	$8,429.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,765.00 / $9,750.00 / $15,887.00	Facility		$4,765.00	$9,750.00	$15,887.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,874.16 / $3,757.08 / $8,862.20	Professional		$2,874.16	$3,757.08	$8,862.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,917.56 / $4,917.56 / $37,499.62	Facility		$4,917.56	$4,917.56	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,917.56 / $4,917.56 / $4,917.56	Professional		$4,917.56	$4,917.56	$4,917.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,980.40 / $3,980.40 / $7,227.90	Facility		$3,980.40	$3,980.40	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,221.37 / $6,251.01 / $12,902.20	Professional		$3,221.37	$6,251.01	$12,902.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,743.50 / $9,286.46	Facility		$319.00	$2,743.50	$9,286.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,057.49 / $4,635.03 / $7,140.26	Professional		$4,057.49	$4,635.03	$7,140.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,660.79 / $3,710.11 / $6,363.50	Professional		$2,660.79	$3,710.11	$6,363.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,980.40 / $7,227.90	Facility		$555.00	$3,980.40	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,367.04 / $5,870.06 / $12,737.22	Professional		$3,367.04	$5,870.06	$12,737.22
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 $2,848.53 / $4,368.47 / $10,616.65	Professional		$2,848.53	$4,368.47	$10,616.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,710.11 / $3,710.11 / $9,569.37	Facility		$3,710.11	$3,710.11	$9,569.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,660.79 / $4,264.10 / $8,069.18	Professional		$2,660.79	$4,264.10	$8,069.18