Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,564.30 / $1,852.45 / $3,428.98	Facility		$1,564.30	$1,852.45	$3,428.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,564.30 / $1,942.80 / $2,683.71	Professional		$1,564.30	$1,942.80	$2,683.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,256.76 / $4,341.89 / $8,513.52	Facility		$4,256.76	$4,341.89	$8,513.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,516.48 / $2,516.48 / $6,749.85	Professional		$2,516.48	$2,516.48	$6,749.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,298.25 / $3,546.50 / $3,546.50	Facility		$3,298.25	$3,546.50	$3,546.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,546.50 / $3,546.50 / $3,546.50	Professional		$3,546.50	$3,546.50	$3,546.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $3,364.97	Facility		$3,364.97	$3,364.97	$3,364.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $2,456.42 / $3,364.97	Professional		$2,456.42	$2,456.42	$3,364.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,256.76 / $9,577.70	Facility		$319.00	$4,256.76	$9,577.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.48 / $3,227.74 / $7,662.17	Professional		$2,511.48	$3,227.74	$7,662.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,227.74 / $3,227.74 / $3,227.74	Facility		$3,227.74	$3,227.74	$3,227.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,559.19 / $2,719.13 / $3,546.50	Professional		$2,559.19	$2,719.13	$3,546.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,364.97 / $4,256.76	Facility		$597.00	$3,364.97	$4,256.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,624.93 / $2,456.42 / $6,342.57	Professional		$1,624.93	$2,456.42	$6,342.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,415.77 / $2,629.15 / $3,893.36	Professional		$1,415.77	$2,629.15	$3,893.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,559.19 / $2,559.19 / $2,659.48	Facility		$2,559.19	$2,559.19	$2,659.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,559.19 / $2,559.19 / $3,227.74	Professional		$2,559.19	$2,559.19	$3,227.74