Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,932.32 / $3,935.66 / $10,170.00	Facility		$1,932.32	$3,935.66	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,988.77 / $2,463.12 / $4,501.06	Professional		$1,988.77	$2,463.12	$4,501.06
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 $1,834.79 / $2,278.48 / $5,145.80	Professional		$1,834.79	$2,278.48	$5,145.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,165.25 / $3,165.25 / $37,499.62	Facility		$3,165.25	$3,165.25	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,165.25 / $3,165.25 / $3,165.25	Professional		$3,165.25	$3,165.25	$3,165.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,540.38 / $7,227.90	Facility		$1,765.00	$2,540.38	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.12 / $3,364.40 / $8,255.92	Professional		$1,733.12	$3,364.40	$8,255.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,501.00 / $5,992.54	Facility		$332.00	$2,501.00	$5,992.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,397.02 / $3,073.39 / $4,607.60	Professional		$2,397.02	$3,073.39	$4,607.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,058.12 / $2,058.12 / $2,058.12	Facility		$2,058.12	$2,058.12	$2,058.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,793.26 / $2,366.84 / $4,092.85	Professional		$1,793.26	$2,366.84	$4,092.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,540.38 / $7,227.90	Facility		$597.00	$2,540.38	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,988.28 / $3,249.94 / $7,689.09	Professional		$1,988.28	$3,249.94	$7,689.09
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 $1,876.69 / $2,558.46 / $6,780.94	Professional		$1,876.69	$2,558.46	$6,780.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,637.14 / $2,637.14 / $6,434.58	Facility		$2,637.14	$2,637.14	$6,434.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,834.19 / $2,957.66 / $5,606.35	Professional		$1,834.19	$2,957.66	$5,606.35