Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $5,960.00 / $10,965.00	Facility		$2,559.00	$5,960.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,452.13 / $5,911.35 / $15,750.10	Professional		$4,452.13	$5,911.35	$15,750.10
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 $3,736.83 / $4,884.75 / $12,188.59	Professional		$3,736.83	$4,884.75	$12,188.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,386.30 / $6,386.30 / $37,499.62	Facility		$6,386.30	$6,386.30	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,386.30 / $6,386.30 / $6,386.30	Professional		$6,386.30	$6,386.30	$6,386.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,285.09 / $5,285.09 / $7,227.90	Facility		$5,285.09	$5,285.09	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,398.81 / $8,053.81 / $23,537.71	Professional		$4,398.81	$8,053.81	$23,537.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,039.72 / $13,061.90	Facility		$319.00	$5,039.72	$13,061.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,543.70 / $7,082.45 / $25,427.17	Professional		$5,543.70	$7,082.45	$25,427.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,557.96 / $4,466.60 / $8,354.08	Professional		$3,557.96	$4,466.60	$8,354.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $5,285.09 / $7,227.90	Facility		$555.00	$5,285.09	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,420.54 / $8,649.87 / $21,894.46	Professional		$4,420.54	$8,649.87	$21,894.46
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 $4,507.52 / $7,069.75 / $16,425.91	Professional		$4,507.52	$7,069.75	$16,425.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,254.84 / $5,254.84 / $15,161.91	Facility		$5,254.84	$5,254.84	$15,161.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,557.96 / $5,269.74 / $10,778.06	Professional		$3,557.96	$5,269.74	$10,778.06