Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,772.85 / $4,602.88 / $7,545.70	Facility		$3,772.85	$4,602.88	$7,545.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $4,565.14	Professional		$3,817.28	$3,817.28	$4,565.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,053.82 / $3,053.82 / $3,817.28	Facility		$3,053.82	$3,053.82	$3,817.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,122.76 / $3,817.28 / $3,817.28	Professional		$3,122.76	$3,817.28	$3,817.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,943.50 / $2,943.50 / $3,237.85	Facility		$2,943.50	$2,943.50	$3,237.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,943.50 / $2,943.50 / $2,943.50	Professional		$2,943.50	$2,943.50	$2,943.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,107.52 / $3,601.20 / $3,601.20	Facility		$3,107.52	$3,601.20	$3,601.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,817.28 / $8,102.70	Facility		$319.00	$3,817.28	$8,102.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $4,933.64	Professional		$3,817.28	$3,817.28	$4,933.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,961.33	Facility		$3,817.28	$3,817.28	$3,961.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,961.33	Professional		$3,817.28	$3,817.28	$3,961.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,017.01 / $3,601.20 / $3,817.28	Facility		$3,017.01	$3,601.20	$3,817.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $5,195.97	Professional		$3,817.28	$3,817.28	$5,195.97
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,046.32 / $5,115.16	Professional		$3,817.28	$4,046.32	$5,115.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,961.33 / $3,961.33 / $3,961.33	Facility		$3,961.33	$3,961.33	$3,961.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,961.33	Professional		$3,817.28	$3,817.28	$3,961.33