Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $5,254.98 / $11,396.00	Facility		$2,303.00	$5,254.98	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,633.13 / $3,314.26 / $8,210.21	Professional		$2,633.13	$3,314.26	$8,210.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,017.00 / $17,122.00	Facility		$4,760.00	$10,017.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,446.19 / $3,197.65 / $7,266.62	Professional		$2,446.19	$3,197.65	$7,266.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,101.70 / $4,101.70 / $37,499.62	Facility		$4,101.70	$4,101.70	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,101.70 / $4,101.70 / $4,101.70	Professional		$4,101.70	$4,101.70	$4,101.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,393.22 / $3,393.22 / $3,393.22	Facility		$3,393.22	$3,393.22	$3,393.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,934.20 / $4,683.12 / $13,711.46	Professional		$2,934.20	$4,683.12	$13,711.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $5,145.00 / $15,064.00	Facility		$332.00	$5,145.00	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,241.62 / $4,624.72 / $7,198.55	Professional		$3,241.62	$4,624.72	$7,198.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,718.50 / $2,718.50 / $2,718.50	Facility		$2,718.50	$2,718.50	$2,718.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,365.04 / $3,380.24 / $6,139.65	Professional		$2,365.04	$3,380.24	$6,139.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,017.24 / $4,680.70 / $13,629.61	Professional		$3,017.24	$4,680.70	$13,629.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,859.00	Facility		$1,749.00	$4,194.00	$9,859.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,637.84 / $4,204.71 / $9,695.83	Professional		$2,637.84	$4,204.71	$9,695.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,380.24 / $3,380.24 / $12,137.19	Facility		$3,380.24	$3,380.24	$12,137.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,366.73 / $3,727.61 / $7,357.18	Professional		$2,366.73	$3,727.61	$7,357.18