Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,407.55 / $10,170.00	Facility		$2,220.00	$4,407.55	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.02 / $3,416.30 / $6,520.09	Professional		$2,630.02	$3,416.30	$6,520.09
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 $2,353.91 / $2,923.15 / $6,629.90	Professional		$2,353.91	$2,923.15	$6,629.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,078.15 / $4,078.15 / $37,499.62	Facility		$4,078.15	$4,078.15	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,078.15 / $4,078.15 / $4,078.15	Professional		$4,078.15	$4,078.15	$4,078.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,279.28 / $7,227.90	Facility		$1,765.00	$3,279.28	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,288.62 / $4,344.59 / $10,636.94	Professional		$2,288.62	$4,344.59	$10,636.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,017.00 / $7,721.17	Facility		$332.00	$3,017.00	$7,721.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,088.47 / $3,961.66 / $5,936.72	Professional		$3,088.47	$3,961.66	$5,936.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,649.79 / $2,649.79 / $2,649.79	Facility		$2,649.79	$2,649.79	$2,649.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,248.19 / $3,396.40 / $5,271.22	Professional		$2,248.19	$3,396.40	$5,271.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,279.28 / $7,227.90	Facility		$597.00	$3,279.28	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,601.61 / $4,242.26 / $9,904.14	Professional		$2,601.61	$4,242.26	$9,904.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,331.00 / $4,194.00 / $9,020.04	Facility		$1,331.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $2,423.73 / $3,443.37 / $8,649.35	Professional		$2,423.73	$3,443.37	$8,649.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,396.40 / $3,396.40 / $10,498.06	Facility		$3,396.40	$3,396.40	$10,498.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,248.19 / $3,809.20 / $7,220.48	Professional		$2,248.19	$3,809.20	$7,220.48