Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,036.26 / $5,036.26 / $7,554.39	Facility		$5,036.26	$5,036.26	$7,554.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,343.77 / $5,036.26 / $5,351.02	Professional		$4,343.77	$5,036.26	$5,351.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,897.55 / $3,897.55 / $4,871.93	Facility		$3,897.55	$3,897.55	$4,871.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $5,246.10	Professional		$5,246.10	$5,246.10	$5,246.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,996.29 / $4,996.29 / $5,495.92	Facility		$4,996.29	$4,996.29	$5,495.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,996.29 / $4,996.29 / $4,996.29	Professional		$4,996.29	$4,996.29	$4,996.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,249.11 / $5,406.58 / $5,406.58	Facility		$5,249.11	$5,406.58	$5,406.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $8,668.65	Facility		$5,351.02	$5,351.02	$8,668.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $6,153.67	Professional		$5,351.02	$5,351.02	$6,153.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,560.87 / $5,560.87	Facility		$5,351.02	$5,560.87	$5,560.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,560.87 / $5,560.87	Professional		$5,351.02	$5,560.87	$5,560.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $5,406.58 / $5,406.58	Facility		$597.00	$5,406.58	$5,406.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $7,995.06	Professional		$5,351.02	$5,351.02	$7,995.06
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $7,583.92	Professional		$5,246.10	$5,246.10	$7,583.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Facility		$5,351.02	$5,351.02	$5,351.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,560.87	Professional		$5,351.02	$5,351.02	$5,560.87