Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,292.05 / $6,041.88 / $10,844.40	Facility		$3,292.05	$6,041.88	$10,844.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,863.58 / $3,873.00 / $4,492.68	Professional		$1,863.58	$3,873.00	$4,492.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $10,069.79	Facility		$3,873.00	$3,873.00	$10,069.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $5,994.55	Professional		$1,549.20	$1,549.20	$5,994.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,323.80 / $3,873.00 / $3,873.00	Facility		$2,323.80	$3,873.00	$3,873.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,827.29 / $3,873.00 / $3,873.00	Professional		$2,827.29	$3,873.00	$3,873.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,736.83 / $8,181.71 / $10,338.89	Facility		$4,736.83	$8,181.71	$10,338.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,333.56 / $5,636.02 / $12,567.36	Professional		$2,333.56	$5,636.02	$12,567.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,034.89 / $8,714.25	Facility		$319.00	$5,034.89	$8,714.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,711.10 / $4,040.70 / $7,087.59	Professional		$2,711.10	$4,040.70	$7,087.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,069.48 / $2,069.48 / $2,069.48	Facility		$2,069.48	$2,069.48	$2,069.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,069.48 / $3,679.35 / $4,558.51	Professional		$2,069.48	$3,679.35	$4,558.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $8,181.71 / $10,338.89	Facility		$254.50	$8,181.71	$10,338.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $4,465.56 / $11,619.00	Professional		$200.00	$4,465.56	$11,619.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $5,869.84	Professional		$1,626.66	$2,323.80	$5,869.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $4,105.39 / $4,105.39	Facility		$22.19	$4,105.39	$4,105.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,669.64 / $3,873.00 / $4,558.51	Professional		$2,669.64	$3,873.00	$4,558.51