Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,720.38 / $2,037.28 / $3,771.10	Facility		$1,720.38	$2,037.28	$3,771.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,720.38 / $2,037.28 / $2,951.47	Professional		$1,720.38	$2,037.28	$2,951.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,681.47 / $4,775.10 / $9,362.95	Facility		$4,681.47	$4,775.10	$9,362.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,574.31 / $2,574.31 / $7,215.65	Professional		$2,574.31	$2,574.31	$7,215.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,627.33 / $3,900.35 / $3,900.35	Facility		$3,627.33	$3,900.35	$3,900.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,900.35 / $3,900.35 / $3,900.35	Professional		$3,900.35	$3,900.35	$3,900.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,249.00 / $3,249.00 / $3,249.00	Facility		$3,249.00	$3,249.00	$3,249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $2,371.77 / $3,249.00	Professional		$2,371.77	$2,371.77	$3,249.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,681.47 / $10,533.33	Facility		$319.00	$4,681.47	$10,533.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,417.36 / $3,370.67 / $8,426.66	Professional		$2,417.36	$3,370.67	$8,426.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $2,020.00 / $2,020.00	Facility		$2,020.00	$2,020.00	$2,020.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,020.00 / $2,814.53 / $3,357.06	Professional		$2,020.00	$2,814.53	$3,357.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,249.00 / $4,681.47	Facility		$597.00	$3,249.00	$4,681.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $2,789.10 / $6,975.41	Professional		$2,371.77	$2,789.10	$6,975.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,557.02 / $2,803.67 / $4,281.82	Professional		$1,557.02	$2,803.67	$4,281.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,814.53 / $2,814.53 / $2,924.82	Facility		$2,814.53	$2,814.53	$2,924.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,020.00 / $2,814.53 / $2,990.44	Professional		$2,020.00	$2,814.53	$2,990.44