Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,228.00 / $10,170.00	Facility		$2,220.00	$5,228.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,485.78 / $4,197.21 / $7,382.97	Professional		$3,485.78	$4,197.21	$7,382.97
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 $3,158.90 / $3,881.53 / $8,457.85	Professional		$3,158.90	$3,881.53	$8,457.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,483.06 / $5,483.06 / $37,499.62	Facility		$5,483.06	$5,483.06	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,483.06 / $5,483.06 / $5,483.06	Professional		$5,483.06	$5,483.06	$5,483.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $4,429.10 / $7,227.90	Facility		$1,765.00	$4,429.10	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,825.95 / $5,599.73 / $14,370.11	Professional		$2,825.95	$5,599.73	$14,370.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,784.00 / $10,456.25	Facility		$332.00	$3,784.00	$10,456.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,378.47 / $5,400.33 / $8,039.69	Professional		$4,378.47	$5,400.33	$8,039.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,588.92 / $3,588.92 / $3,588.92	Facility		$3,588.92	$3,588.92	$3,588.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,871.14 / $4,589.10 / $7,122.28	Professional		$2,871.14	$4,589.10	$7,122.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,429.10 / $7,227.90	Facility		$597.00	$4,429.10	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,230.48 / $5,539.09 / $13,189.45	Professional		$3,230.48	$5,539.09	$13,189.45
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 $3,232.55 / $4,435.79 / $10,674.03	Professional		$3,232.55	$4,435.79	$10,674.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,589.10 / $4,589.10 / $14,111.69	Facility		$4,589.10	$4,589.10	$14,111.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,871.14 / $5,146.85 / $9,756.04	Professional		$2,871.14	$5,146.85	$9,756.04