Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.71 / $5,164.00 / $10,686.00	Facility		$2,231.71	$5,164.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,574.92 / $3,233.18 / $8,902.82	Professional		$2,574.92	$3,233.18	$8,902.82
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 $2,147.67 / $2,807.42 / $6,863.06	Professional		$2,147.67	$2,807.42	$6,863.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,601.39 / $3,601.39 / $37,499.62	Facility		$3,601.39	$3,601.39	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,601.39 / $3,601.39 / $3,601.39	Professional		$3,601.39	$3,601.39	$3,601.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,978.93 / $2,978.93 / $7,227.90	Facility		$2,978.93	$2,978.93	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,489.73 / $4,415.84 / $13,709.76	Professional		$2,489.73	$4,415.84	$13,709.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,372.68 / $8,748.79	Facility		$319.00	$4,372.68	$8,748.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,133.48 / $3,464.69 / $5,666.91	Professional		$3,133.48	$3,464.69	$5,666.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,079.87 / $2,970.54 / $4,722.53	Professional		$2,079.87	$2,970.54	$4,722.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,978.93 / $7,227.90	Facility		$555.00	$2,978.93	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,622.12 / $4,866.28 / $13,362.31	Professional		$2,622.12	$4,866.28	$13,362.31
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 $2,508.91 / $3,687.20 / $8,481.94	Professional		$2,508.91	$3,687.20	$8,481.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,970.54 / $2,970.54 / $11,153.24	Facility		$2,970.54	$2,970.54	$11,153.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,126.15 / $3,180.91 / $6,092.80	Professional		$2,126.15	$3,180.91	$6,092.80