Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,147.51 / $2,543.08 / $4,707.38	Facility		$2,147.51	$2,543.08	$4,707.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,147.51 / $2,543.08 / $3,684.25	Professional		$2,147.51	$2,543.08	$3,684.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,843.77 / $5,960.65 / $11,687.54	Facility		$5,843.77	$5,960.65	$11,687.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,704.43 / $2,704.43 / $8,536.29	Professional		$2,704.43	$2,704.43	$8,536.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,527.89 / $4,868.71 / $4,868.71	Facility		$4,527.89	$4,868.71	$4,868.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,868.71 / $4,868.71 / $4,868.71	Professional		$4,868.71	$4,868.71	$4,868.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,780.72 / $2,780.72 / $2,780.72	Facility		$2,780.72	$2,780.72	$2,780.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,029.93 / $2,780.72	Professional		$2,029.93	$2,029.93	$2,780.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,843.77 / $13,148.48	Facility		$319.00	$5,843.77	$13,148.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,017.53 / $4,207.51 / $10,518.79	Professional		$3,017.53	$4,207.51	$10,518.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,535.00 / $3,535.00 / $3,535.00	Facility		$3,535.00	$3,535.00	$3,535.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,513.30 / $3,535.00 / $4,242.00	Professional		$3,513.30	$3,535.00	$4,242.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,780.72 / $5,843.77	Facility		$597.00	$2,780.72	$5,843.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,780.72 / $6,952.74	Professional		$2,029.93	$2,780.72	$6,952.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,943.60 / $3,140.27 / $5,036.89	Professional		$1,943.60	$3,140.27	$5,036.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,513.30 / $3,513.30 / $3,650.97	Facility		$3,513.30	$3,513.30	$3,650.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,513.30 / $3,513.30 / $3,732.89	Professional		$3,513.30	$3,513.30	$3,732.89