Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,099.41 / $4,159.27 / $10,170.00	Facility		$2,099.41	$4,159.27	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,215.19 / $2,855.00 / $5,651.55	Professional		$2,215.19	$2,855.00	$5,651.55
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 $2,022.74 / $2,511.90 / $5,667.85	Professional		$2,022.74	$2,511.90	$5,667.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,525.79 / $3,525.79 / $37,499.62	Facility		$3,525.79	$3,525.79	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,525.79 / $3,525.79 / $3,525.79	Professional		$3,525.79	$3,525.79	$3,525.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,847.56 / $7,227.90	Facility		$1,765.00	$2,847.56	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,847.51 / $3,726.20 / $9,270.00	Professional		$1,847.51	$3,726.20	$9,270.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,497.00 / $6,743.50	Facility		$332.00	$2,497.00	$6,743.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,827.58 / $3,488.42 / $5,185.00	Professional		$2,827.58	$3,488.42	$5,185.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,317.69 / $2,317.69 / $2,317.69	Facility		$2,317.69	$2,317.69	$2,317.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,854.15 / $2,665.34 / $4,597.30	Professional		$1,854.15	$2,665.34	$4,597.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,847.56 / $7,227.90	Facility		$597.00	$2,847.56	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,214.00 / $3,596.53 / $8,454.27	Professional		$2,214.00	$3,596.53	$8,454.27
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 $2,011.65 / $2,781.23 / $6,794.73	Professional		$2,011.65	$2,781.23	$6,794.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,962.18 / $2,962.18 / $8,797.58	Facility		$2,962.18	$2,962.18	$8,797.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,854.15 / $3,322.20 / $6,297.35	Professional		$1,854.15	$3,322.20	$6,297.35