Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,996.76 / $4,043.00 / $10,170.00	Facility		$1,996.76	$4,043.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,055.62 / $2,763.21 / $4,828.68	Professional		$2,055.62	$2,763.21	$4,828.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,887.12 / $2,318.82 / $5,299.28	Professional		$1,887.12	$2,318.82	$5,299.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,253.60 / $3,253.60 / $37,499.62	Facility		$3,253.60	$3,253.60	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,253.60 / $3,253.60 / $3,253.60	Professional		$3,253.60	$3,253.60	$3,253.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,631.54 / $7,227.90	Facility		$1,765.00	$2,631.54	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,840.42 / $3,448.50 / $8,520.58	Professional		$1,840.42	$3,448.50	$8,520.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,775.00 / $6,194.72	Facility		$332.00	$2,775.00	$6,194.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,477.89 / $3,171.50 / $4,763.05	Professional		$2,477.89	$3,171.50	$4,763.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,124.48 / $2,124.48 / $2,124.48	Facility		$2,124.48	$2,124.48	$2,124.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,768.62 / $2,443.16 / $4,220.46	Professional		$1,768.62	$2,443.16	$4,220.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,631.54 / $7,227.90	Facility		$597.00	$2,631.54	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,003.04 / $3,339.38 / $7,944.00	Professional		$2,003.04	$3,339.38	$7,944.00
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 $1,935.08 / $2,770.03 / $7,011.10	Professional		$1,935.08	$2,770.03	$7,011.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,719.37 / $2,719.37 / $7,665.32	Facility		$2,719.37	$2,719.37	$7,665.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,768.62 / $3,049.88 / $5,781.16	Professional		$1,768.62	$3,049.88	$5,781.16