Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.00 / $5,531.21 / $12,051.00	Facility		$2,626.00	$5,531.21	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,057.63 / $3,661.88 / $6,341.94	Professional		$3,057.63	$3,661.88	$6,341.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,562.13 / $3,181.73 / $7,517.93	Professional		$2,562.13	$3,181.73	$7,517.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,453.58 / $4,453.58 / $37,499.62	Facility		$4,453.58	$4,453.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,453.58 / $4,453.58 / $4,453.58	Professional		$4,453.58	$4,453.58	$4,453.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,584.75 / $7,227.90	Facility		$1,765.00	$3,584.75	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,517.40 / $4,825.03 / $11,578.94	Professional		$2,517.40	$4,825.03	$11,578.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,914.19 / $8,443.42	Facility		$332.00	$3,914.19	$8,443.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,377.37 / $4,328.52 / $6,492.05	Professional		$3,377.37	$4,328.52	$6,492.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,903.54 / $2,903.54 / $2,903.54	Facility		$2,903.54	$2,903.54	$2,903.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,520.25 / $3,706.26 / $5,752.11	Professional		$2,520.25	$3,706.26	$5,752.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,584.75 / $7,227.90	Facility		$597.00	$3,584.75	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,837.20 / $4,609.72 / $10,403.07	Professional		$2,837.20	$4,609.72	$10,403.07
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 $2,667.44 / $3,671.81 / $8,555.07	Professional		$2,667.44	$3,671.81	$8,555.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,706.26 / $3,706.26 / $4,792.43	Facility		$3,706.26	$3,706.26	$4,792.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,040.33 / $4,156.71 / $7,834.43	Professional		$3,040.33	$4,156.71	$7,834.43