Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,867.40 / $2,211.38 / $4,093.37	Facility		$1,867.40	$2,211.38	$4,093.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,867.40 / $2,231.36 / $3,203.70	Professional		$1,867.40	$2,231.36	$3,203.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,081.54 / $5,183.17 / $10,163.08	Facility		$5,081.54	$5,183.17	$10,163.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,547.31 / $2,547.31 / $7,757.47	Professional		$2,547.31	$2,547.31	$7,757.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,937.30 / $4,233.66 / $4,233.66	Facility		$3,937.30	$4,233.66	$4,233.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,233.66 / $4,233.66 / $4,233.66	Professional		$4,233.66	$4,233.66	$4,233.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $3,006.81	Facility		$3,006.81	$3,006.81	$3,006.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $2,194.96 / $3,006.81	Professional		$2,194.96	$2,194.96	$3,006.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,081.54 / $11,433.47	Facility		$319.00	$5,081.54	$11,433.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,623.95 / $3,779.14 / $9,146.77	Professional		$2,623.95	$3,779.14	$9,146.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,878.50 / $2,878.50 / $2,878.50	Facility		$2,878.50	$2,878.50	$2,878.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,878.50 / $3,055.05 / $3,643.95	Professional		$2,878.50	$3,055.05	$3,643.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,006.81 / $5,081.54	Facility		$597.00	$3,006.81	$5,081.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $3,006.81 / $6,735.94	Professional		$2,194.96	$3,006.81	$6,735.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,690.08 / $2,886.04 / $4,575.22	Professional		$1,690.08	$2,886.04	$4,575.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,055.05 / $3,055.05 / $3,174.76	Facility		$3,055.05	$3,055.05	$3,174.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,878.50 / $3,055.05 / $3,245.99	Professional		$2,878.50	$3,055.05	$3,245.99