Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,245.87 / $2,659.57 / $4,923.00	Facility		$2,245.87	$2,659.57	$4,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,245.87 / $2,718.59 / $3,853.01	Professional		$2,245.87	$2,718.59	$3,853.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,111.45 / $6,233.68 / $12,222.90	Facility		$6,111.45	$6,233.68	$12,222.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,688.79 / $3,688.79 / $9,830.62	Professional		$3,688.79	$3,688.79	$9,830.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,735.30 / $5,091.72 / $5,091.72	Facility		$4,735.30	$5,091.72	$5,091.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,091.72 / $5,091.72 / $5,091.72	Professional		$5,091.72	$5,091.72	$5,091.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $3,790.37	Facility		$3,790.37	$3,790.37	$3,790.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $2,766.97 / $3,790.37	Professional		$2,766.97	$2,766.97	$3,790.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $6,111.45 / $13,750.76	Facility		$319.00	$6,111.45	$13,750.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,155.76 / $4,488.83 / $11,000.61	Professional		$3,155.76	$4,488.83	$11,000.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,844.26 / $2,844.26 / $2,844.26	Facility		$2,844.26	$2,844.26	$2,844.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,844.26 / $3,674.22 / $4,382.50	Professional		$2,844.26	$3,674.22	$4,382.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,790.37 / $6,111.45	Facility		$597.00	$3,790.37	$6,111.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $3,777.17 / $9,106.06	Professional		$2,766.97	$3,777.17	$9,106.06
United Facility/Professional Professional Modifier Low / Median / High Price $2,032.62 / $3,666.87 / $5,502.52	Professional		$2,032.62	$3,666.87	$5,502.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,674.22 / $3,674.22 / $4,083.49	Facility		$3,674.22	$3,674.22	$4,083.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,844.26 / $3,674.22 / $3,903.87	Professional		$2,844.26	$3,674.22	$3,903.87