Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,268.48 / $2,686.34 / $4,972.55	Facility		$2,268.48	$2,686.34	$4,972.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,268.48 / $3,136.96 / $3,891.79	Professional		$2,268.48	$3,136.96	$3,891.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,172.96 / $6,296.42 / $12,345.92	Facility		$6,172.96	$6,296.42	$12,345.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,772.23 / $3,772.23 / $10,052.99	Professional		$3,772.23	$3,772.23	$10,052.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,782.96 / $5,142.97 / $5,142.97	Facility		$4,782.96	$5,142.97	$5,142.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,142.97 / $5,142.97 / $5,142.97	Professional		$5,142.97	$5,142.97	$5,142.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $4,865.01	Facility		$4,865.01	$4,865.01	$4,865.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $3,551.46 / $4,865.01	Professional		$3,551.46	$3,551.46	$4,865.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $6,172.96 / $13,889.16	Facility		$319.00	$6,172.96	$13,889.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,187.52 / $4,629.72 / $11,111.33	Professional		$3,187.52	$4,629.72	$11,111.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $3,030.00	Facility		$3,030.00	$3,030.00	$3,030.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,711.21 / $4,426.60	Professional		$3,030.00	$3,711.21	$4,426.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,865.01 / $6,172.96	Facility		$597.00	$4,865.01	$6,172.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $3,677.68 / $9,197.70	Professional		$3,551.46	$3,677.68	$9,197.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,053.08 / $3,703.78 / $5,555.66	Professional		$2,053.08	$3,703.78	$5,555.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,711.21 / $3,711.21 / $3,856.64	Facility		$3,711.21	$3,711.21	$3,856.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,711.21 / $3,943.16	Professional		$3,030.00	$3,711.21	$3,943.16