Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,302.31 / $5,324.00 / $10,686.00	Facility		$2,302.31	$5,324.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,789.46 / $3,309.29 / $13,797.00	Professional		$2,789.46	$3,309.29	$13,797.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.00 / $9,974.00 / $17,122.00	Facility		$4,793.00	$9,974.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,351.38 / $3,073.70 / $7,497.56	Professional		$2,351.38	$3,073.70	$7,497.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,256.35 / $4,256.35 / $37,499.62	Facility		$4,256.35	$4,256.35	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,256.35 / $4,256.35 / $4,256.35	Professional		$4,256.35	$4,256.35	$4,256.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,453.08 / $3,453.08 / $7,227.90	Facility		$3,453.08	$3,453.08	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,452.44 / $4,913.46 / $14,365.58	Professional		$2,452.44	$4,913.46	$14,365.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,999.89 / $8,516.36	Facility		$319.00	$4,999.89	$8,516.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,636.25 / $4,027.69 / $6,548.14	Professional		$3,636.25	$4,027.69	$6,548.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,278.21 / $3,468.12 / $5,513.57	Professional		$2,278.21	$3,468.12	$5,513.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,453.08 / $7,227.90	Facility		$555.00	$3,453.08	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,692.19 / $4,998.33 / $13,469.08	Professional		$2,692.19	$4,998.33	$13,469.08
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 $2,760.98 / $4,075.73 / $8,766.67	Professional		$2,760.98	$4,075.73	$8,766.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,468.12 / $3,468.12 / $11,694.88	Facility		$3,468.12	$3,468.12	$11,694.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,278.21 / $3,713.72 / $7,113.36	Professional		$2,278.21	$3,713.72	$7,113.36