Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,901.38 / $10,170.00	Facility		$2,220.00	$5,901.38	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,465.27 / $5,833.91 / $9,800.85	Professional		$4,465.27	$5,833.91	$9,800.85
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 $4,047.74 / $4,973.68 / $11,681.97	Professional		$4,047.74	$4,973.68	$11,681.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,939.06 / $6,939.06 / $37,499.62	Facility		$6,939.06	$6,939.06	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,939.06 / $6,939.06 / $6,939.06	Professional		$6,939.06	$6,939.06	$6,939.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $5,609.84 / $7,227.90	Facility		$1,765.00	$5,609.84	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,298.40 / $7,570.43 / $18,299.28	Professional		$3,298.40	$7,570.43	$18,299.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,529.00 / $13,048.47	Facility		$332.00	$3,529.00	$13,048.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,219.39 / $6,693.71 / $10,032.82	Professional		$5,219.39	$6,693.71	$10,032.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,487.87 / $4,487.87 / $4,487.87	Facility		$4,487.87	$4,487.87	$4,487.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,684.12 / $5,161.05 / $8,940.66	Professional		$3,684.12	$5,161.05	$8,940.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $5,609.84 / $7,227.90	Facility		$597.00	$5,609.84	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,831.17 / $7,170.40 / $16,734.27	Professional		$3,831.17	$7,170.40	$16,734.27
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 $3,904.79 / $5,955.40 / $13,856.80	Professional		$3,904.79	$5,955.40	$13,856.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,760.73 / $5,760.73 / $13,284.10	Facility		$5,760.73	$5,760.73	$13,284.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,684.12 / $6,027.21 / $12,246.85	Professional		$3,684.12	$6,027.21	$12,246.85