Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $6,867.46 / $10,686.00	Facility		$2,559.00	$6,867.46	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,708.27 / $6,982.43 / $14,054.50	Professional		$5,708.27	$6,982.43	$14,054.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $7,688.00 / $14,242.23	Facility		$4,574.00	$7,688.00	$14,242.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,715.99 / $6,164.70 / $14,293.32	Professional		$4,715.99	$6,164.70	$14,293.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8,118.57 / $8,118.57 / $37,499.62	Facility		$8,118.57	$8,118.57	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8,118.57 / $8,118.57 / $8,118.57	Professional		$8,118.57	$8,118.57	$8,118.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,564.29 / $6,564.29 / $7,227.90	Facility		$6,564.29	$6,564.29	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,596.44 / $10,826.20 / $22,052.87	Professional		$5,596.44	$10,826.20	$22,052.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,275.00 / $15,266.77	Facility		$319.00	$4,275.00	$15,266.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,662.28 / $7,613.23 / $11,738.45	Professional		$6,662.28	$7,613.23	$11,738.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,840.97 / $5,392.08 / $11,262.65	Professional		$4,840.97	$5,392.08	$11,262.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $6,564.29 / $7,227.90	Facility		$555.00	$6,564.29	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,734.80 / $10,109.99 / $22,052.87	Professional		$5,734.80	$10,109.99	$22,052.87
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 $5,030.53 / $7,572.72 / $18,451.87	Professional		$5,030.53	$7,572.72	$18,451.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,392.08 / $5,392.08 / $17,320.88	Facility		$5,392.08	$5,392.08	$17,320.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,583.28 / $7,009.56 / $11,889.72	Professional		$4,583.28	$7,009.56	$11,889.72