Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,574.47 / $10,170.00	Facility		$2,220.00	$5,574.47	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,933.19 / $5,244.26 / $8,769.04	Professional		$3,933.19	$5,244.26	$8,769.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,869.00	Facility		$4,100.00	$7,264.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,624.28 / $4,453.37 / $10,517.76	Professional		$3,624.28	$4,453.37	$10,517.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,206.47 / $6,206.47 / $37,499.62	Facility		$6,206.47	$6,206.47	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,206.47 / $6,206.47 / $6,206.47	Professional		$6,206.47	$6,206.47	$6,206.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $5,017.04 / $7,227.90	Facility		$1,765.00	$5,017.04	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,173.91 / $6,753.29 / $16,099.79	Professional		$3,173.91	$6,753.29	$16,099.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,593.00 / $11,674.76	Facility		$332.00	$3,593.00	$11,674.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,669.89 / $5,989.15 / $8,713.44	Professional		$4,669.89	$5,989.15	$8,713.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,015.41 / $4,015.41 / $4,015.41	Facility		$4,015.41	$4,015.41	$4,015.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,269.16 / $5,153.72 / $7,998.58	Professional		$3,269.16	$5,153.72	$7,998.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $5,017.04 / $7,227.90	Facility		$597.00	$5,017.04	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,472.33 / $6,460.50 / $14,972.88	Professional		$3,472.33	$6,460.50	$14,972.88
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $3,574.58 / $5,059.76 / $12,145.85	Professional		$3,574.58	$5,059.76	$12,145.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,153.72 / $5,153.72 / $11,890.17	Facility		$5,153.72	$5,153.72	$11,890.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,269.16 / $5,780.11 / $10,956.40	Professional		$3,269.16	$5,780.11	$10,956.40