Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,658.81 / $10,170.00	Facility		$2,220.00	$5,658.81	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,982.30 / $5,238.22 / $8,895.75	Professional		$3,982.30	$5,238.22	$8,895.75
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 $3,669.87 / $4,509.38 / $10,457.87	Professional		$3,669.87	$4,509.38	$10,457.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,284.73 / $6,284.73 / $37,499.62	Facility		$6,284.73	$6,284.73	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,284.73 / $6,284.73 / $6,284.73	Professional		$6,284.73	$6,284.73	$6,284.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $5,083.51 / $7,227.90	Facility		$1,765.00	$5,083.51	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,212.91 / $6,893.68 / $16,389.53	Professional		$3,212.91	$6,893.68	$16,389.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,548.00 / $11,843.46	Facility		$332.00	$3,548.00	$11,843.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,737.38 / $6,076.48 / $9,106.29	Professional		$4,737.38	$6,076.48	$9,106.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,074.71 / $4,074.71 / $4,074.71	Facility		$4,074.71	$4,074.71	$4,074.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,300.56 / $5,227.16 / $8,112.55	Professional		$3,300.56	$5,227.16	$8,112.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $5,083.51 / $7,227.90	Facility		$597.00	$5,083.51	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,521.77 / $6,499.75 / $15,191.19	Professional		$3,521.77	$6,499.75	$15,191.19
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 $3,619.27 / $5,287.27 / $13,035.85	Professional		$3,619.27	$5,287.27	$13,035.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,227.16 / $5,227.16 / $11,921.74	Facility		$5,227.16	$5,227.16	$11,921.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,300.56 / $5,862.47 / $11,112.52	Professional		$3,300.56	$5,862.47	$11,112.52