Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,392.00 / $10,170.00	Facility		$2,220.00	$4,392.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,535.92 / $3,363.16 / $5,810.35	Professional		$2,535.92	$3,363.16	$5,810.35
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 $2,326.62 / $2,889.27 / $6,532.74	Professional		$2,326.62	$2,889.27	$6,532.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,013.90 / $4,013.90 / $37,499.62	Facility		$4,013.90	$4,013.90	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,013.90 / $4,013.90 / $4,013.90	Professional		$4,013.90	$4,013.90	$4,013.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,246.98 / $7,227.90	Facility		$1,765.00	$3,246.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,264.82 / $4,243.81 / $10,514.55	Professional		$2,264.82	$4,243.81	$10,514.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,784.00 / $7,644.96	Facility		$332.00	$3,784.00	$7,644.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,057.98 / $3,914.29 / $5,878.12	Professional		$3,057.98	$3,914.29	$5,878.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,622.04 / $2,622.04 / $2,622.04	Facility		$2,622.04	$2,622.04	$2,622.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,200.39 / $3,355.97 / $5,208.47	Professional		$2,200.39	$3,355.97	$5,208.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,246.98 / $7,227.90	Facility		$597.00	$3,246.98	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,349.46 / $4,110.14 / $9,848.11	Professional		$2,349.46	$4,110.14	$9,848.11
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 $2,397.15 / $3,384.02 / $7,965.12	Professional		$2,397.15	$3,384.02	$7,965.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,355.97 / $3,355.97 / $8,049.51	Facility		$3,355.97	$3,355.97	$8,049.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,200.39 / $3,521.41 / $7,134.52	Professional		$2,200.39	$3,521.41	$7,134.52