Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,131.96 / $4,078.27 / $10,170.00	Facility		$2,131.96	$4,078.27	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,195.28 / $2,938.96 / $5,120.08	Professional		$2,195.28	$2,938.96	$5,120.08
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 $2,012.05 / $2,498.63 / $5,647.94	Professional		$2,012.05	$2,498.63	$5,647.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,475.08 / $3,475.08 / $37,499.62	Facility		$3,475.08	$3,475.08	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,475.08 / $3,475.08 / $3,475.08	Professional		$3,475.08	$3,475.08	$3,475.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,810.59 / $7,227.90	Facility		$1,765.00	$2,810.59	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,957.81 / $3,675.38 / $9,107.70	Professional		$1,957.81	$3,675.38	$9,107.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,288.00 / $6,627.06	Facility		$332.00	$3,288.00	$6,627.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,650.82 / $3,394.17 / $5,095.47	Professional		$2,650.82	$3,394.17	$5,095.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,273.31 / $2,273.31 / $2,273.31	Facility		$2,273.31	$2,273.31	$2,273.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,890.57 / $2,907.82 / $4,512.93	Professional		$1,890.57	$2,907.82	$4,512.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,810.59 / $7,227.90	Facility		$597.00	$2,810.59	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,032.07 / $3,550.63 / $8,471.04	Professional		$2,032.07	$3,550.63	$8,471.04
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 $2,081.55 / $2,968.78 / $6,882.38	Professional		$2,081.55	$2,968.78	$6,882.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,907.82 / $2,907.82 / $7,529.15	Facility		$2,907.82	$2,907.82	$7,529.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,890.57 / $3,261.24 / $6,181.79	Professional		$1,890.57	$3,261.24	$6,181.79