Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,923.82 / $2,278.19 / $4,217.06	Facility		$1,923.82	$2,278.19	$4,217.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,923.82 / $2,389.30 / $3,300.50	Professional		$1,923.82	$2,389.30	$3,300.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,235.09 / $5,339.79 / $10,470.18	Facility		$5,235.09	$5,339.79	$10,470.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,171.15 / $3,171.15 / $8,451.11	Professional		$3,171.15	$3,171.15	$8,451.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,056.28 / $4,361.59 / $4,361.59	Facility		$4,056.28	$4,361.59	$4,361.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,361.59 / $4,361.59 / $4,361.59	Professional		$4,361.59	$4,361.59	$4,361.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,745.37 / $3,745.37 / $3,745.37	Facility		$3,745.37	$3,745.37	$3,745.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $2,734.12 / $3,745.37	Professional		$2,734.12	$2,734.12	$3,745.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,235.09 / $11,778.95	Facility		$319.00	$5,235.09	$11,778.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,703.23 / $3,926.32 / $9,423.16	Professional		$2,703.23	$3,926.32	$9,423.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,727.00 / $2,727.00 / $2,727.00	Facility		$2,727.00	$2,727.00	$2,727.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,727.00 / $3,147.35 / $3,754.06	Professional		$2,727.00	$3,147.35	$3,754.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,745.37 / $5,235.09	Facility		$597.00	$3,745.37	$5,235.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $3,118.90 / $8,390.16	Professional		$2,734.12	$3,118.90	$8,390.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,741.15 / $3,238.85 / $4,788.17	Professional		$1,741.15	$3,238.85	$4,788.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,147.35 / $3,147.35 / $3,270.67	Facility		$3,147.35	$3,147.35	$3,270.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,727.00 / $3,147.35 / $3,344.06	Professional		$2,727.00	$3,147.35	$3,344.06