Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,261.06 / $2,922.45 / $4,185.33	Facility		$2,261.06	$2,922.45	$4,185.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,261.06 / $2,922.45 / $3,275.66	Professional		$2,261.06	$2,922.45	$3,275.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,195.68 / $5,299.60 / $10,391.37	Facility		$5,195.68	$5,299.60	$10,391.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,569.66 / $3,569.66 / $8,736.98	Professional		$3,569.66	$3,569.66	$8,736.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,025.75 / $4,328.76 / $4,328.76	Facility		$4,025.75	$4,328.76	$4,328.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,328.76 / $4,328.76 / $4,328.76	Professional		$4,328.76	$4,328.76	$4,328.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $3,728.42	Facility		$3,728.42	$3,728.42	$3,728.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $2,721.75 / $3,728.42	Professional		$2,721.75	$2,721.75	$3,728.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,195.68 / $11,690.30	Facility		$319.00	$5,195.68	$11,690.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,940.82 / $3,896.77 / $9,352.24	Professional		$2,940.82	$3,896.77	$9,352.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,676.02 / $3,676.02 / $3,676.02	Facility		$3,676.02	$3,676.02	$3,676.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,276.58 / $3,481.37 / $4,328.76	Professional		$3,276.58	$3,481.37	$4,328.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,728.42 / $5,195.68	Facility		$597.00	$3,728.42	$5,195.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $3,211.19 / $7,741.58	Professional		$2,721.75	$3,211.19	$7,741.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,728.05 / $3,214.47 / $4,752.13	Professional		$1,728.05	$3,214.47	$4,752.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,477.42 / $3,477.42 / $3,477.42	Facility		$3,477.42	$3,477.42	$3,477.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,276.58 / $3,477.42 / $3,676.02	Professional		$3,276.58	$3,477.42	$3,676.02