Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,264.76 / $4,792.00 / $10,296.00	Facility		$2,264.76	$4,792.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,264.76 / $3,071.18 / $6,468.02	Professional		$2,264.76	$3,071.18	$6,468.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,268.00 / $12,869.00	Facility		$4,100.00	$7,268.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,004.74 / $2,620.58 / $6,266.67	Professional		$2,004.74	$2,620.58	$6,266.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,581.59 / $3,581.59 / $37,499.62	Facility		$3,581.59	$3,581.59	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,581.59 / $3,581.59 / $3,581.59	Professional		$3,581.59	$3,581.59	$3,581.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,847.02 / $2,847.02 / $7,227.90	Facility		$2,847.02	$2,847.02	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,927.46 / $4,363.72 / $9,065.82	Professional		$1,927.46	$4,363.72	$9,065.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,985.00 / $6,550.90	Facility		$332.00	$3,985.00	$6,550.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,911.51 / $3,415.11 / $5,110.89	Professional		$2,911.51	$3,415.11	$5,110.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,916.92 / $2,355.25 / $4,630.52	Professional		$1,916.92	$2,355.25	$4,630.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,847.02 / $7,227.90	Facility		$555.00	$2,847.02	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,128.65 / $4,263.35 / $9,065.82	Professional		$2,128.65	$4,263.35	$9,065.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,988.00 / $8,133.00	Facility		$1,479.00	$3,988.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,437.41 / $3,030.86 / $7,700.78	Professional		$1,437.41	$3,030.86	$7,700.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,694.23 / $2,694.23 / $8,499.29	Facility		$2,694.23	$2,694.23	$8,499.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,916.92 / $2,948.17 / $5,963.92	Professional		$1,916.92	$2,948.17	$5,963.92