Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $5,939.19 / $10,965.00	Facility		$2,559.00	$5,939.19	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,591.14 / $5,712.71 / $14,369.20	Professional		$4,591.14	$5,712.71	$14,369.20
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 $3,644.54 / $4,764.10 / $11,837.19	Professional		$3,644.54	$4,764.10	$11,837.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,201.89 / $6,201.89 / $37,499.62	Facility		$6,201.89	$6,201.89	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,201.89 / $6,201.89 / $6,201.89	Professional		$6,201.89	$6,201.89	$6,201.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,132.20 / $5,132.20 / $7,227.90	Facility		$5,132.20	$5,132.20	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,335.45 / $7,878.23 / $24,176.69	Professional		$4,335.45	$7,878.23	$24,176.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $7,386.26 / $12,686.36	Facility		$319.00	$7,386.26	$12,686.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,384.67 / $5,950.05 / $9,754.40	Professional		$5,384.67	$5,950.05	$9,754.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,573.32 / $5,103.53 / $8,113.53	Professional		$3,573.32	$5,103.53	$8,113.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $5,132.20 / $7,227.90	Facility		$555.00	$5,132.20	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,537.89 / $8,401.19 / $22,852.12	Professional		$4,537.89	$8,401.19	$22,852.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,515.00	Facility		$1,479.00	$4,114.00	$8,515.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,473.83 / $6,455.79 / $15,339.07	Professional		$4,473.83	$6,455.79	$15,339.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,103.53 / $5,103.53 / $20,054.00	Facility		$5,103.53	$5,103.53	$20,054.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,776.37 / $5,464.95 / $10,467.70	Professional		$3,776.37	$5,464.95	$10,467.70