Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,222.56 / $10,170.00	Facility		$2,220.00	$4,222.56	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,316.78 / $3,061.55 / $5,399.19	Professional		$2,316.78	$3,061.55	$5,399.19
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 $2,083.23 / $2,587.03 / $5,941.48	Professional		$2,083.23	$2,587.03	$5,941.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,566.69 / $3,566.69 / $37,499.62	Facility		$3,566.69	$3,566.69	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,566.69 / $3,566.69 / $3,566.69	Professional		$3,566.69	$3,566.69	$3,566.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,910.22 / $7,227.90	Facility		$1,765.00	$2,910.22	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,130.00 / $3,853.35 / $9,085.77	Professional		$2,130.00	$3,853.35	$9,085.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,844.00 / $6,851.79	Facility		$332.00	$3,844.00	$6,851.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,740.72 / $3,517.04 / $5,268.27	Professional		$2,740.72	$3,517.04	$5,268.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,357.46 / $2,357.46 / $2,357.46	Facility		$2,357.46	$2,357.46	$2,357.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,049.08 / $3,013.35 / $4,676.72	Professional		$2,049.08	$3,013.35	$4,676.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,910.22 / $7,227.90	Facility		$597.00	$2,910.22	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,436.19 / $3,790.70 / $8,681.98	Professional		$2,436.19	$3,790.70	$8,681.98
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 $2,149.15 / $2,998.15 / $7,678.29	Professional		$2,149.15	$2,998.15	$7,678.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,013.35 / $3,013.35 / $9,727.29	Facility		$3,013.35	$3,013.35	$9,727.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,066.71 / $3,379.59 / $6,406.14	Professional		$2,066.71	$3,379.59	$6,406.14