Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,083.73 / $4,051.00 / $9,868.00	Facility		$2,083.73	$4,051.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,954.61 / $2,481.60 / $4,371.26	Professional		$1,954.61	$2,481.60	$4,371.26
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 $1,818.19 / $2,234.11 / $4,866.56	Professional		$1,818.19	$2,234.11	$4,866.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,143.60 / $3,143.60 / $37,499.62	Facility		$3,143.60	$3,143.60	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,143.60 / $3,143.60 / $3,143.60	Professional		$3,143.60	$3,143.60	$3,143.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,515.92 / $7,227.90	Facility		$1,765.00	$2,515.92	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,610.66 / $3,262.96 / $8,174.59	Professional		$1,610.66	$3,262.96	$8,174.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,640.01 / $5,940.02	Facility		$319.00	$2,640.01	$5,940.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,376.01 / $3,045.99 / $4,567.22	Professional		$2,376.01	$3,045.99	$4,567.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,039.64 / $2,039.64 / $2,039.64	Facility		$2,039.64	$2,039.64	$2,039.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,712.58 / $2,345.59 / $4,052.56	Professional		$1,712.58	$2,345.59	$4,052.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,515.92 / $7,227.90	Facility		$597.00	$2,515.92	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,637.67 / $3,161.76 / $7,599.89	Professional		$1,637.67	$3,161.76	$7,599.89
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 $1,876.57 / $2,603.48 / $6,081.79	Professional		$1,876.57	$2,603.48	$6,081.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,611.17 / $2,611.17 / $6,525.32	Facility		$2,611.17	$2,611.17	$6,525.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,712.58 / $2,928.55 / $5,551.16	Professional		$1,712.58	$2,928.55	$5,551.16