Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,676.12 / $10,170.00	Facility		$2,220.00	$4,676.12	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,661.53 / $3,568.02 / $6,768.03	Professional		$2,661.53	$3,568.02	$6,768.03
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 $2,847.43 / $3,429.95 / $7,246.98	Professional		$2,847.43	$3,429.95	$7,246.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,862.92 / $4,862.92 / $37,499.62	Facility		$4,862.92	$4,862.92	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,862.92 / $4,862.92 / $4,862.92	Professional		$4,862.92	$4,862.92	$4,862.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,904.99 / $7,227.90	Facility		$1,765.00	$3,904.99	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,478.01 / $4,702.10 / $12,400.63	Professional		$2,478.01	$4,702.10	$12,400.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,239.00 / $9,010.69	Facility		$332.00	$4,239.00	$9,010.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,604.28 / $4,616.50 / $6,928.22	Professional		$3,604.28	$4,616.50	$6,928.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,101.09 / $3,101.09 / $3,101.09	Facility		$3,101.09	$3,101.09	$3,101.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,237.50 / $4,030.43 / $6,255.22	Professional		$2,237.50	$4,030.43	$6,255.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,904.99 / $7,227.90	Facility		$597.00	$3,904.99	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,783.55 / $4,838.60 / $10,918.02	Professional		$2,783.55	$4,838.60	$10,918.02
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 $2,750.67 / $3,876.36 / $9,458.40	Professional		$2,750.67	$3,876.36	$9,458.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,030.43 / $4,030.43 / $10,636.46	Facility		$4,030.43	$4,030.43	$10,636.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,237.50 / $4,520.28 / $8,519.67	Professional		$2,237.50	$4,520.28	$8,519.67