Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,168.94 / $2,568.46 / $4,754.35	Facility		$2,168.94	$2,568.46	$4,754.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,168.94 / $3,055.91 / $3,721.01	Professional		$2,168.94	$3,055.91	$3,721.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,902.08 / $6,020.12 / $11,804.16	Facility		$5,902.08	$6,020.12	$11,804.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,205.32 / $3,205.32 / $9,096.77	Professional		$3,205.32	$3,205.32	$9,096.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,573.08 / $4,917.29 / $4,917.29	Facility		$4,573.08	$4,917.29	$4,917.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,917.29 / $4,917.29 / $4,917.29	Professional		$4,917.29	$4,917.29	$4,917.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $4,072.36	Facility		$4,072.36	$4,072.36	$4,072.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $2,972.82 / $4,072.36	Professional		$2,972.82	$2,972.82	$4,072.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,902.08 / $13,279.68	Facility		$319.00	$5,902.08	$13,279.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,147.16 / $4,426.56 / $10,623.74	Professional		$3,147.16	$4,426.56	$10,623.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,933.95 / $3,933.95 / $3,933.95	Facility		$3,933.95	$3,933.95	$3,933.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.37 / $3,770.14 / $4,720.74	Professional		$3,548.37	$3,770.14	$4,720.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,072.36 / $5,902.08	Facility		$597.00	$4,072.36	$5,902.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $3,516.29 / $8,794.10	Professional		$2,972.82	$3,516.29	$8,794.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,962.99 / $3,518.32 / $5,398.23	Professional		$1,962.99	$3,518.32	$5,398.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,548.37 / $3,548.37 / $3,687.41	Facility		$3,548.37	$3,548.37	$3,687.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,548.37 / $3,548.37 / $3,933.95	Professional		$3,548.37	$3,548.37	$3,933.95