Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $4,991.05 / $10,965.00	Facility		$2,303.00	$4,991.05	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,666.25 / $3,429.50 / $6,093.01	Professional		$2,666.25	$3,429.50	$6,093.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,478.56 / $3,034.73 / $6,956.78	Professional		$2,478.56	$3,034.73	$6,956.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,275.80 / $4,275.80 / $37,499.62	Facility		$4,275.80	$4,275.80	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,275.80 / $4,275.80 / $4,275.80	Professional		$4,275.80	$4,275.80	$4,275.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,447.56 / $7,227.90	Facility		$1,765.00	$3,447.56	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,203.31 / $4,519.82 / $11,166.23	Professional		$2,203.31	$4,519.82	$11,166.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,750.00 / $8,111.99	Facility		$332.00	$1,750.00	$8,111.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,244.80 / $4,161.32 / $6,237.22	Professional		$3,244.80	$4,161.32	$6,237.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,782.54 / $2,782.54 / $2,782.54	Facility		$2,782.54	$2,782.54	$2,782.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,141.33 / $3,564.31 / $5,531.81	Professional		$2,141.33	$3,564.31	$5,531.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,447.56 / $41,554.00	Facility		$597.00	$3,447.56	$41,554.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,299.15 / $4,333.99 / $10,339.78	Professional		$2,299.15	$4,333.99	$10,339.78
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 $2,475.25 / $3,591.71 / $8,482.24	Professional		$2,475.25	$3,591.71	$8,482.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,564.31 / $3,564.31 / $7,730.26	Facility		$3,564.31	$3,564.31	$7,730.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,141.33 / $3,736.95 / $7,577.43	Professional		$2,141.33	$3,736.95	$7,577.43