Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,960.58 / $2,321.73 / $4,297.63	Facility		$1,960.58	$2,321.73	$4,297.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,960.58 / $2,593.44 / $3,363.56	Professional		$1,960.58	$2,593.44	$3,363.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,335.11 / $5,441.81 / $10,670.22	Facility		$5,335.11	$5,441.81	$10,670.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,952.48 / $2,952.48 / $8,266.94	Professional		$2,952.48	$2,952.48	$8,266.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,133.78 / $4,444.92 / $4,444.92	Facility		$4,133.78	$4,444.92	$4,444.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,444.92 / $4,444.92 / $4,444.92	Professional		$4,444.92	$4,444.92	$4,444.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,578.08 / $3,578.08 / $3,578.08	Facility		$3,578.08	$3,578.08	$3,578.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $2,612.00 / $3,578.08	Professional		$2,612.00	$2,612.00	$3,578.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,335.11 / $12,004.00	Facility		$319.00	$5,335.11	$12,004.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.88 / $4,001.33 / $9,603.20	Professional		$2,754.88	$4,001.33	$9,603.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,333.00 / $3,333.00 / $3,333.00	Facility		$3,333.00	$3,333.00	$3,333.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,207.50 / $3,333.00 / $3,999.60	Professional		$3,207.50	$3,333.00	$3,999.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,578.08 / $5,335.11	Facility		$597.00	$3,578.08	$5,335.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $3,178.49 / $8,269.42	Professional		$2,612.00	$3,178.49	$8,269.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,774.42 / $3,169.01 / $4,805.84	Professional		$1,774.42	$3,169.01	$4,805.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,207.50 / $3,207.50 / $3,333.18	Facility		$3,207.50	$3,207.50	$3,333.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,207.50 / $3,207.50 / $3,407.96	Professional		$3,207.50	$3,207.50	$3,407.96