Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,228.00 / $10,170.00	Facility		$2,220.00	$5,228.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,399.49 / $4,428.81 / $7,531.05	Professional		$3,399.49	$4,428.81	$7,531.05
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 $3,100.94 / $3,810.30 / $8,853.99	Professional		$3,100.94	$3,810.30	$8,853.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,312.22 / $5,312.22 / $37,499.62	Facility		$5,312.22	$5,312.22	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,312.22 / $5,312.22 / $5,312.22	Professional		$5,312.22	$5,312.22	$5,312.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $4,297.76 / $7,227.90	Facility		$1,765.00	$4,297.76	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,712.88 / $5,755.19 / $13,822.80	Professional		$2,712.88	$5,755.19	$13,822.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,034.00 / $10,026.54	Facility		$332.00	$3,034.00	$10,026.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,010.62 / $5,145.22 / $7,709.30	Professional		$4,010.62	$5,145.22	$7,709.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,450.96 / $3,450.96 / $3,450.96	Facility		$3,450.96	$3,450.96	$3,450.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,826.70 / $4,426.25 / $6,869.53	Professional		$2,826.70	$4,426.25	$6,869.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,297.76 / $7,227.90	Facility		$597.00	$4,297.76	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,933.66 / $5,457.22 / $12,847.04	Professional		$2,933.66	$5,457.22	$12,847.04
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 $3,046.24 / $4,537.22 / $11,482.61	Professional		$3,046.24	$4,537.22	$11,482.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,426.25 / $4,426.25 / $10,115.91	Facility		$4,426.25	$4,426.25	$10,115.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,826.70 / $4,634.64 / $9,409.84	Professional		$2,826.70	$4,634.64	$9,409.84