Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.49 / $2,097.06 / $3,881.76	Facility		$1,640.49	$2,097.06	$3,881.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.49 / $2,105.48 / $3,038.07	Professional		$1,640.49	$2,105.48	$3,038.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,818.83 / $4,915.21 / $9,637.66	Facility		$4,818.83	$4,915.21	$9,637.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,828.47 / $2,828.47 / $7,641.13	Professional		$2,828.47	$2,828.47	$7,641.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,733.75 / $4,014.79 / $4,014.79	Facility		$3,733.75	$4,014.79	$4,014.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,014.79 / $4,014.79 / $4,014.79	Professional		$4,014.79	$4,014.79	$4,014.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $2,756.64	Facility		$2,756.64	$2,756.64	$2,756.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $2,756.64	Professional		$2,012.35	$2,012.35	$2,756.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,818.83 / $10,842.37	Facility		$319.00	$4,818.83	$10,842.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,488.30 / $3,565.93 / $8,673.89	Professional		$2,488.30	$3,565.93	$8,673.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,856.75 / $2,856.75 / $2,856.75	Facility		$2,856.75	$2,856.75	$2,856.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,856.75 / $2,897.11 / $3,455.58	Professional		$2,856.75	$2,897.11	$3,455.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,756.64 / $4,818.83	Facility		$597.00	$2,756.64	$4,818.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,756.64 / $7,469.19	Professional		$2,012.35	$2,756.64	$7,469.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,602.71 / $2,543.66 / $4,417.88	Professional		$1,602.71	$2,543.66	$4,417.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,575.86 / $2,897.11 / $2,897.11	Facility		$2,575.86	$2,897.11	$2,897.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,856.75 / $2,897.11 / $3,078.18	Professional		$2,856.75	$2,897.11	$3,078.18