Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,245.80 / $2,659.48 / $4,922.83	Facility		$2,245.80	$2,659.48	$4,922.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,245.80 / $3,142.30 / $3,852.87	Professional		$2,245.80	$3,142.30	$3,852.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,111.24 / $6,233.46 / $12,222.48	Facility		$6,111.24	$6,233.46	$12,222.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,670.43 / $3,670.43 / $9,781.69	Professional		$3,670.43	$3,670.43	$9,781.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,735.13 / $5,091.54 / $5,091.54	Facility		$4,735.13	$5,091.54	$5,091.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,091.54 / $5,091.54 / $5,091.54	Professional		$5,091.54	$5,091.54	$5,091.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $4,728.96	Facility		$4,728.96	$4,728.96	$4,728.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $3,452.14 / $4,728.96	Professional		$3,452.14	$3,452.14	$4,728.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $6,111.24 / $13,750.29	Facility		$319.00	$6,111.24	$13,750.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,155.65 / $4,583.43 / $11,000.23	Professional		$3,155.65	$4,583.43	$11,000.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,535.00 / $3,535.00 / $3,535.00	Facility		$3,535.00	$3,535.00	$3,535.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,535.00 / $3,674.10 / $4,382.34	Professional		$3,535.00	$3,674.10	$4,382.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,728.96 / $6,111.24	Facility		$597.00	$4,728.96	$6,111.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $3,640.90 / $9,105.75	Professional		$3,452.14	$3,640.90	$9,105.75
United Facility/Professional Facility Modifier Low / Median / High Price $8,148.31 / $8,148.31 / $8,148.31	Facility		$8,148.31	$8,148.31	$8,148.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,032.55 / $3,666.74 / $5,602.73	Professional		$2,032.55	$3,666.74	$5,602.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,674.10 / $3,674.10 / $3,818.07	Facility		$3,674.10	$3,674.10	$3,818.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,535.00 / $3,674.10 / $3,903.73	Professional		$3,535.00	$3,674.10	$3,903.73