Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,412.54 / $10,170.00	Facility		$2,220.00	$5,412.54	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,750.92 / $4,952.14 / $8,617.02	Professional		$3,750.92	$4,952.14	$8,617.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,499.00 / $7,264.00 / $13,780.00	Facility		$4,499.00	$7,264.00	$13,780.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,469.53 / $4,270.49 / $9,246.34	Professional		$3,469.53	$4,270.49	$9,246.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,989.41 / $5,989.41 / $37,499.62	Facility		$5,989.41	$5,989.41	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,989.41 / $5,989.41 / $5,989.41	Professional		$5,989.41	$5,989.41	$5,989.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $4,856.28 / $7,227.90	Facility		$1,765.00	$4,856.28	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,336.61 / $6,325.35 / $15,264.61	Professional		$3,336.61	$6,325.35	$15,264.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,398.00 / $11,472.37	Facility		$332.00	$4,398.00	$11,472.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,890.42 / $5,926.18 / $8,820.98	Professional		$4,890.42	$5,926.18	$8,820.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,938.43 / $3,938.43 / $3,938.43	Facility		$3,938.43	$3,938.43	$3,938.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,422.64 / $5,645.03 / $8,447.26	Professional		$3,422.64	$5,645.03	$8,447.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,856.28 / $7,227.90	Facility		$597.00	$4,856.28	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,733.80 / $6,084.12 / $14,142.99	Professional		$3,733.80	$6,084.12	$14,142.99
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 $3,597.28 / $5,069.09 / $11,309.18	Professional		$3,597.28	$5,069.09	$11,309.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,033.29 / $5,033.29 / $15,612.57	Facility		$5,033.29	$5,033.29	$15,612.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,938.43 / $6,222.72 / $10,700.36	Professional		$3,938.43	$6,222.72	$10,700.36