Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,824.00 / $10,170.00	Facility		$2,220.00	$5,824.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,184.13 / $5,612.89 / $9,860.81	Professional		$4,184.13	$5,612.89	$9,860.81
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 $3,822.09 / $4,746.39 / $10,795.52	Professional		$3,822.09	$4,746.39	$10,795.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,600.43 / $6,600.43 / $37,499.62	Facility		$6,600.43	$6,600.43	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,600.43 / $6,600.43 / $6,600.43	Professional		$6,600.43	$6,600.43	$6,600.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $5,349.05 / $7,227.90	Facility		$1,765.00	$5,349.05	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,685.60 / $7,036.93 / $17,347.02	Professional		$3,685.60	$7,036.93	$17,347.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,833.00 / $12,631.28	Facility		$332.00	$4,833.00	$12,631.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,400.94 / $6,522.80 / $9,712.04	Professional		$5,400.94	$6,522.80	$9,712.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,335.10 / $4,335.10 / $4,335.10	Facility		$4,335.10	$4,335.10	$4,335.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,767.27 / $6,213.44 / $9,297.84	Professional		$3,767.27	$6,213.44	$9,297.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $5,349.05 / $7,227.90	Facility		$597.00	$5,349.05	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,102.26 / $6,801.69 / $16,132.31	Professional		$4,102.26	$6,801.69	$16,132.31
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 $3,983.37 / $5,669.42 / $14,263.60	Professional		$3,983.37	$5,669.42	$14,263.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,540.10 / $5,540.10 / $17,219.93	Facility		$5,540.10	$5,540.10	$17,219.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,335.10 / $6,849.48 / $11,777.80	Professional		$4,335.10	$6,849.48	$11,777.80