Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,426.66 / $10,170.00	Facility		$2,220.00	$4,426.66	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,587.13 / $3,462.67 / $6,077.41	Professional		$2,587.13	$3,462.67	$6,077.41
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 $2,363.76 / $2,935.39 / $6,644.76	Professional		$2,363.76	$2,935.39	$6,644.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,096.10 / $4,096.10 / $37,499.62	Facility		$4,096.10	$4,096.10	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,096.10 / $4,096.10 / $4,096.10	Professional		$4,096.10	$4,096.10	$4,096.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,293.81 / $7,227.90	Facility		$1,765.00	$3,293.81	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,299.14 / $4,341.74 / $10,683.86	Professional		$2,299.14	$4,341.74	$10,683.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,027.00 / $7,755.19	Facility		$332.00	$3,027.00	$7,755.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,315.92 / $4,004.47 / $5,962.88	Professional		$3,315.92	$4,004.47	$5,962.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,661.42 / $2,661.42 / $2,661.42	Facility		$2,661.42	$2,661.42	$2,661.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,129.14 / $3,411.35 / $5,294.42	Professional		$2,129.14	$3,411.35	$5,294.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,293.81 / $7,227.90	Facility		$597.00	$3,293.81	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,611.98 / $4,260.26 / $9,947.76	Professional		$2,611.98	$4,260.26	$9,947.76
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 $2,448.61 / $3,512.18 / $8,794.71	Professional		$2,448.61	$3,512.18	$8,794.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,411.35 / $3,411.35 / $10,564.10	Facility		$3,411.35	$3,411.35	$10,564.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,129.14 / $3,825.97 / $7,252.26	Professional		$2,129.14	$3,825.97	$7,252.26