Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,544.80 / $10,170.00	Facility		$2,220.00	$4,544.80	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,848.73 / $3,628.18 / $7,691.96	Professional		$2,848.73	$3,628.18	$7,691.96
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 $2,396.67 / $2,976.27 / $6,857.28	Professional		$2,396.67	$2,976.27	$6,857.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,107.85 / $4,107.85 / $37,499.62	Facility		$4,107.85	$4,107.85	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,107.85 / $4,107.85 / $4,107.85	Professional		$4,107.85	$4,107.85	$4,107.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,539.93 / $7,227.90	Facility		$1,765.00	$3,539.93	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,404.42 / $4,501.26 / $10,855.61	Professional		$2,404.42	$4,501.26	$10,855.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,871.00 / $8,339.94	Facility		$332.00	$4,871.00	$8,339.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,490.32 / $4,304.17 / $6,412.49	Professional		$3,490.32	$4,304.17	$6,412.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,860.92 / $2,860.92 / $2,860.92	Facility		$2,860.92	$2,860.92	$2,860.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,288.73 / $3,660.89 / $5,681.70	Professional		$2,288.73	$3,660.89	$5,681.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,539.93 / $7,227.90	Facility		$597.00	$3,539.93	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,808.26 / $4,286.64 / $9,991.56	Professional		$2,808.26	$4,286.64	$9,991.56
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 $2,591.40 / $3,610.40 / $8,205.36	Professional		$2,591.40	$3,610.40	$8,205.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,660.89 / $3,660.89 / $11,805.91	Facility		$3,660.89	$3,660.89	$11,805.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,288.73 / $4,105.83 / $7,782.75	Professional		$2,288.73	$4,105.83	$7,782.75