Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,368.15 / $5,219.97 / $10,296.00	Facility		$2,368.15	$5,219.97	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,553.48 / $3,612.49 / $5,764.47	Professional		$2,553.48	$3,612.49	$5,764.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,357.57 / $3,081.80 / $7,083.34	Professional		$2,357.57	$3,081.80	$7,083.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,132.24 / $4,132.24 / $37,499.62	Facility		$4,132.24	$4,132.24	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,132.24 / $4,132.24 / $4,132.24	Professional		$4,132.24	$4,132.24	$4,132.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,332.00 / $3,332.00 / $7,227.90	Facility		$3,332.00	$3,332.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.55 / $4,936.55 / $10,511.04	Professional		$2,818.55	$4,936.55	$10,511.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,430.00 / $7,674.59	Facility		$319.00	$4,430.00	$7,674.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,410.93 / $3,966.42 / $5,935.95	Professional		$3,410.93	$3,966.42	$5,935.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,355.08 / $3,338.28 / $5,344.49	Professional		$2,355.08	$3,338.28	$5,344.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,332.00 / $7,227.90	Facility		$555.00	$3,332.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,031.25 / $4,936.55 / $10,173.28	Professional		$3,031.25	$4,936.55	$10,173.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,695.98 / $4,014.50 / $9,139.83	Professional		$2,695.98	$4,014.50	$9,139.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,338.28 / $3,338.28 / $8,091.54	Facility		$3,338.28	$3,338.28	$8,091.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,355.08 / $3,556.10 / $6,170.04	Professional		$2,355.08	$3,556.10	$6,170.04