Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,460.30 / $10,170.00	Facility		$2,220.00	$5,460.30	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,891.56 / $5,053.00 / $8,582.83	Professional		$3,891.56	$5,053.00	$8,582.83
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 $3,541.00 / $4,351.03 / $10,043.87	Professional		$3,541.00	$4,351.03	$10,043.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,062.56 / $6,062.56 / $37,499.62	Facility		$6,062.56	$6,062.56	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,062.56 / $6,062.56 / $6,062.56	Professional		$6,062.56	$6,062.56	$6,062.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $4,904.50 / $7,227.90	Facility		$1,765.00	$4,904.50	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,098.44 / $6,586.85 / $15,923.56	Professional		$3,098.44	$6,586.85	$15,923.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,756.00 / $11,426.85	Facility		$332.00	$3,756.00	$11,426.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.74 / $5,862.84 / $8,785.98	Professional		$4,570.74	$5,862.84	$8,785.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,931.58 / $3,931.58 / $3,931.58	Facility		$3,931.58	$3,931.58	$3,931.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,229.32 / $4,521.32 / $7,828.15	Professional		$3,229.32	$4,521.32	$7,828.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,904.50 / $7,227.90	Facility		$597.00	$4,904.50	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,397.81 / $6,318.08 / $14,657.10	Professional		$3,397.81	$6,318.08	$14,657.10
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 $3,518.90 / $5,154.43 / $12,058.66	Professional		$3,518.90	$5,154.43	$12,058.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,043.91 / $5,043.91 / $11,738.36	Facility		$5,043.91	$5,043.91	$11,738.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,229.32 / $5,280.11 / $10,722.95	Professional		$3,229.32	$5,280.11	$10,722.95