Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,638.86 / $4,439.41 / $8,005.49	Facility		$3,638.86	$4,439.41	$8,005.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,660.82 / $3,697.44 / $5,027.41	Professional		$3,660.82	$3,697.44	$5,027.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,928.66 / $2,928.66 / $3,660.83	Facility		$2,928.66	$2,928.66	$3,660.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,460.63 / $3,660.83 / $3,660.83	Professional		$1,460.63	$3,660.83	$3,660.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,968.61 / $2,968.61 / $3,117.04	Facility		$2,968.61	$2,968.61	$3,117.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,968.61 / $2,968.61 / $2,968.61	Professional		$2,968.61	$2,968.61	$2,968.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.16 / $3,453.62 / $3,660.83	Facility		$2,970.16	$3,453.62	$3,660.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Professional		$3,660.83	$3,660.83	$3,660.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,798.98 / $7,770.65	Facility		$319.00	$3,798.98	$7,770.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,798.98 / $3,798.98 / $4,888.14	Professional		$3,798.98	$3,798.98	$4,888.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,798.98	Facility		$3,660.83	$3,660.83	$3,798.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,798.98	Professional		$3,660.83	$3,660.83	$3,798.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,883.65 / $3,453.62 / $3,660.83	Facility		$2,883.65	$3,453.62	$3,660.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,550.05 / $3,660.83 / $4,888.07	Professional		$3,550.05	$3,660.83	$4,888.07
United Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $4,720.42	Professional		$3,660.83	$3,660.83	$4,720.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,798.98 / $3,798.98 / $3,798.98	Facility		$3,798.98	$3,798.98	$3,798.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $319.02 / $3,660.83 / $3,798.98	Professional		$319.02	$3,660.83	$3,798.98