Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,436.03 / $5,228.00 / $10,686.00	Facility		$2,436.03	$5,228.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,856.25 / $3,642.48 / $9,259.84	Professional		$2,856.25	$3,642.48	$9,259.84
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 $2,344.06 / $3,064.14 / $7,499.40	Professional		$2,344.06	$3,064.14	$7,499.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,931.71 / $3,931.71 / $37,499.62	Facility		$3,931.71	$3,931.71	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,931.71 / $3,931.71 / $3,931.71	Professional		$3,931.71	$3,931.71	$3,931.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,253.12 / $3,253.12 / $7,227.90	Facility		$3,253.12	$3,253.12	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,720.27 / $4,902.25 / $14,844.42	Professional		$2,720.27	$4,902.25	$14,844.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,774.38 / $9,652.79	Facility		$319.00	$4,774.38	$9,652.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,421.15 / $3,782.98 / $6,186.98	Professional		$3,421.15	$3,782.98	$6,186.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,271.16 / $3,243.75 / $5,156.88	Professional		$2,271.16	$3,243.75	$5,156.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,253.12 / $7,227.90	Facility		$555.00	$3,253.12	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,880.52 / $5,328.67 / $14,428.59	Professional		$2,880.52	$5,328.67	$14,428.59
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 $2,880.52 / $4,252.18 / $10,101.06	Professional		$2,880.52	$4,252.18	$10,101.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,243.75 / $3,243.75 / $12,475.84	Facility		$3,243.75	$3,243.75	$12,475.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,367.75 / $3,473.47 / $6,653.17	Professional		$2,367.75	$3,473.47	$6,653.17