Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,871.62 / $9,868.00	Facility		$1,819.00	$3,871.62	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,527.42 / $3,266.30 / $5,813.27	Professional		$2,527.42	$3,266.30	$5,813.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,922.00 / $11,208.00	Facility		$3,283.00	$4,922.00	$11,208.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,236.86 / $2,777.80 / $6,329.97	Professional		$2,236.86	$2,777.80	$6,329.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,867.77 / $3,867.77 / $37,499.62	Facility		$3,867.77	$3,867.77	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,867.77 / $3,867.77 / $3,867.77	Professional		$3,867.77	$3,867.77	$3,867.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,111.12 / $7,227.90	Facility		$1,765.00	$3,111.12	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,181.34 / $4,191.93 / $9,833.39	Professional		$2,181.34	$4,191.93	$9,833.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,899.00 / $7,025.49	Facility		$332.00	$2,899.00	$7,025.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,810.20 / $3,662.77 / $5,481.53	Professional		$2,810.20	$3,662.77	$5,481.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,526.05 / $2,526.05 / $2,526.05	Facility		$2,526.05	$2,526.05	$2,526.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,249.50 / $3,252.92 / $5,048.53	Professional		$2,249.50	$3,252.92	$5,048.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,111.12 / $7,227.90	Facility		$597.00	$3,111.12	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,529.08 / $4,001.41 / $9,129.37	Professional		$2,529.08	$4,001.41	$9,129.37
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 $2,236.66 / $3,308.74 / $7,976.21	Professional		$2,236.66	$3,308.74	$7,976.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,252.92 / $3,252.92 / $10,721.06	Facility		$3,252.92	$3,252.92	$10,721.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,249.50 / $3,648.28 / $6,915.44	Professional		$2,249.50	$3,648.28	$6,915.44