Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,684.72 / $1,995.05 / $3,692.93	Facility		$1,684.72	$1,995.05	$3,692.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,684.72 / $2,209.13 / $2,890.29	Professional		$1,684.72	$2,209.13	$2,890.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,584.43 / $4,676.13 / $9,168.87	Facility		$4,584.43	$4,676.13	$9,168.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,800.76 / $2,800.76 / $7,464.02	Professional		$2,800.76	$2,800.76	$7,464.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,552.14 / $3,819.50 / $3,819.50	Facility		$3,552.14	$3,819.50	$3,819.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,819.50 / $3,819.50 / $3,819.50	Professional		$3,819.50	$3,819.50	$3,819.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,670.30 / $3,670.30 / $3,670.30	Facility		$3,670.30	$3,670.30	$3,670.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $2,679.32 / $3,670.30	Professional		$2,679.32	$2,679.32	$3,670.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,584.43 / $10,314.99	Facility		$319.00	$4,584.43	$10,314.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,367.25 / $3,438.33 / $8,251.99	Professional		$2,367.25	$3,438.33	$8,251.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,257.35 / $2,257.35 / $2,257.35	Facility		$2,257.35	$2,257.35	$2,257.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,257.35 / $2,756.19 / $3,287.48	Professional		$2,257.35	$2,756.19	$3,287.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,670.30 / $4,584.43	Facility		$597.00	$3,670.30	$4,584.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $2,731.28 / $6,830.82	Professional		$2,679.32	$2,731.28	$6,830.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,524.75 / $2,618.12 / $4,126.00	Professional		$1,524.75	$2,618.12	$4,126.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,756.19 / $2,756.19 / $2,864.19	Facility		$2,756.19	$2,756.19	$2,864.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,257.35 / $2,756.19 / $2,928.44	Professional		$2,257.35	$2,756.19	$2,928.44