Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,624.40 / $5,054.39 / $9,072.00	Facility		$2,624.40	$5,054.39	$9,072.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.21 / $2,754.00 / $4,119.09	Professional		$1,548.21	$2,754.00	$4,119.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $8,424.00	Facility		$3,240.00	$3,240.00	$8,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,652.40 / $5,082.95	Professional		$1,296.00	$1,652.40	$5,082.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $3,240.00 / $3,240.00	Facility		$1,944.00	$3,240.00	$3,240.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,365.19 / $3,240.00 / $3,240.00	Professional		$2,365.19	$3,240.00	$3,240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,962.32 / $6,844.50 / $8,649.27	Facility		$3,962.32	$6,844.50	$8,649.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,966.76 / $4,727.93 / $10,513.68	Professional		$1,966.76	$4,727.93	$10,513.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,100.48 / $7,290.00	Facility		$332.00	$1,100.48	$7,290.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,268.00 / $3,380.29 / $5,929.20	Professional		$2,268.00	$3,380.29	$5,929.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,343.43 / $1,343.43 / $1,343.43	Facility		$1,343.43	$1,343.43	$1,343.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,343.43 / $3,078.00 / $3,813.47	Professional		$1,343.43	$3,078.00	$3,813.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $6,844.50 / $8,649.27	Facility		$254.50	$6,844.50	$8,649.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,952.05 / $3,692.98 / $9,720.00	Professional		$1,952.05	$3,692.98	$9,720.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,944.00 / $4,910.47	Professional		$1,360.80	$1,944.00	$4,910.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,434.41 / $3,434.41 / $3,856.73	Facility		$3,434.41	$3,434.41	$3,856.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,715.87 / $3,240.00 / $3,856.73	Professional		$1,715.87	$3,240.00	$3,856.73