Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,393.82 / $10,170.00	Facility		$2,220.00	$4,393.82	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,547.44 / $3,325.09 / $5,658.66	Professional		$2,547.44	$3,325.09	$5,658.66
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 $2,330.28 / $2,893.81 / $6,634.07	Professional		$2,330.28	$2,893.81	$6,634.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,988.19 / $3,988.19 / $37,499.62	Facility		$3,988.19	$3,988.19	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,988.19 / $3,988.19 / $3,988.19	Professional		$3,988.19	$3,988.19	$3,988.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,227.34 / $7,227.90	Facility		$1,765.00	$3,227.34	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,242.88 / $4,292.96 / $10,387.84	Professional		$2,242.88	$4,292.96	$10,387.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,013.00 / $7,533.72	Facility		$332.00	$3,013.00	$7,533.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,013.49 / $3,866.39 / $5,792.59	Professional		$3,013.49	$3,866.39	$5,792.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,593.56 / $2,593.56 / $2,593.56	Facility		$2,593.56	$2,593.56	$2,593.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,212.98 / $3,326.44 / $5,162.64	Professional		$2,212.98	$3,326.44	$5,162.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,227.34 / $7,227.90	Facility		$597.00	$3,227.34	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,479.82 / $4,115.43 / $9,715.19	Professional		$2,479.82	$4,115.43	$9,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,419.00 / $3,962.00 / $7,222.00	Facility		$1,419.00	$3,962.00	$7,222.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,340.27 / $3,303.58 / $7,867.18	Professional		$2,340.27	$3,303.58	$7,867.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,326.44 / $3,326.44 / $7,984.65	Facility		$3,326.44	$3,326.44	$7,984.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,212.98 / $3,730.74 / $7,071.74	Professional		$2,212.98	$3,730.74	$7,071.74