Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,754.79 / $10,170.00	Facility		$2,220.00	$4,754.79	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,550.91 / $3,123.99 / $5,606.41	Professional		$2,550.91	$3,123.99	$5,606.41
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 $2,226.44 / $2,764.88 / $6,516.02	Professional		$2,226.44	$2,764.88	$6,516.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,817.18 / $3,817.18 / $37,499.62	Facility		$3,817.18	$3,817.18	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,817.18 / $3,817.18 / $3,817.18	Professional		$3,817.18	$3,817.18	$3,817.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,301.00 / $7,227.90	Facility		$1,765.00	$3,301.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,287.86 / $4,230.08 / $10,109.44	Professional		$2,287.86	$4,230.08	$10,109.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,440.00 / $7,798.25	Facility		$332.00	$4,440.00	$7,798.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,266.10 / $4,028.52 / $5,995.99	Professional		$3,266.10	$4,028.52	$5,995.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,677.13 / $2,677.13 / $2,677.13	Facility		$2,677.13	$2,677.13	$2,677.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,141.69 / $3,078.70 / $5,311.10	Professional		$2,141.69	$3,078.70	$5,311.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,301.00 / $7,227.90	Facility		$597.00	$3,301.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,610.52 / $4,021.95 / $9,638.29	Professional		$2,610.52	$4,021.95	$9,638.29
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 $2,362.87 / $3,334.81 / $8,042.75	Professional		$2,362.87	$3,334.81	$8,042.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,422.10 / $3,422.10 / $9,647.46	Facility		$3,422.10	$3,422.10	$9,647.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,141.69 / $3,838.02 / $7,249.67	Professional		$2,141.69	$3,838.02	$7,249.67