Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $5,370.00 / $10,965.00	Facility		$2,559.00	$5,370.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,168.06 / $4,036.70 / $10,850.40	Professional		$3,168.06	$4,036.70	$10,850.40
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 $2,698.02 / $3,526.83 / $8,618.69	Professional		$2,698.02	$3,526.83	$8,618.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,599.28 / $4,599.28 / $37,499.62	Facility		$4,599.28	$4,599.28	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,599.28 / $4,599.28 / $4,599.28	Professional		$4,599.28	$4,599.28	$4,599.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,737.35 / $3,737.35 / $7,227.90	Facility		$3,737.35	$3,737.35	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,164.72 / $5,588.19 / $16,693.83	Professional		$3,164.72	$5,588.19	$16,693.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,413.00 / $9,215.42	Facility		$319.00	$5,413.00	$9,215.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,931.20 / $4,352.89 / $7,085.63	Professional		$3,931.20	$4,352.89	$7,085.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,614.91 / $3,748.13 / $5,958.74	Professional		$2,614.91	$3,748.13	$5,958.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,737.35 / $7,227.90	Facility		$555.00	$3,737.35	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,260.21 / $6,102.65 / $16,000.81	Professional		$3,260.21	$6,102.65	$16,000.81
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 $3,343.50 / $4,985.12 / $11,182.58	Professional		$3,343.50	$4,985.12	$11,182.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,748.13 / $3,748.13 / $13,168.30	Facility		$3,748.13	$3,748.13	$13,168.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,614.91 / $4,013.57 / $7,687.70	Professional		$2,614.91	$4,013.57	$7,687.70