Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,370.00 / $10,170.00	Facility		$2,220.00	$5,370.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,710.50 / $4,558.08 / $8,179.66	Professional		$3,710.50	$4,558.08	$8,179.66
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 $3,424.79 / $4,208.24 / $9,073.95	Professional		$3,424.79	$4,208.24	$9,073.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,942.92 / $5,942.92 / $37,499.62	Facility		$5,942.92	$5,942.92	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,942.92 / $5,942.92 / $5,942.92	Professional		$5,942.92	$5,942.92	$5,942.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $4,800.85 / $7,227.90	Facility		$1,765.00	$4,800.85	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,063.46 / $6,065.27 / $15,568.48	Professional		$3,063.46	$6,065.27	$15,568.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,034.00 / $11,326.79	Facility		$332.00	$4,034.00	$11,326.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,530.72 / $5,803.66 / $8,709.04	Professional		$4,530.72	$5,803.66	$8,709.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,887.10 / $3,887.10 / $3,887.10	Facility		$3,887.10	$3,887.10	$3,887.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,005.34 / $4,971.30 / $7,715.47	Professional		$3,005.34	$4,971.30	$7,715.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,800.85 / $7,227.90	Facility		$597.00	$4,800.85	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,333.03 / $5,963.98 / $13,992.45	Professional		$3,333.03	$5,963.98	$13,992.45
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 $3,541.57 / $5,022.43 / $11,132.57	Professional		$3,541.57	$5,022.43	$11,132.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,971.30 / $4,971.30 / $14,384.44	Facility		$4,971.30	$4,971.30	$14,384.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,005.34 / $5,575.52 / $10,568.59	Professional		$3,005.34	$5,575.52	$10,568.59