Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,805.82 / $2,138.46 / $3,958.41	Facility		$1,805.82	$2,138.46	$3,958.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,805.82 / $2,416.33 / $3,098.07	Professional		$1,805.82	$2,416.33	$3,098.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,914.00 / $5,012.28 / $9,828.00	Facility		$4,914.00	$5,012.28	$9,828.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,670.21 / $2,670.21 / $7,574.03	Professional		$2,670.21	$2,670.21	$7,574.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,807.49 / $4,094.07 / $4,094.07	Facility		$3,807.49	$4,094.07	$4,094.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,094.07 / $4,094.07 / $4,094.07	Professional		$4,094.07	$4,094.07	$4,094.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $3,523.90	Facility		$3,523.90	$3,523.90	$3,523.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $2,572.44 / $3,523.90	Professional		$2,572.44	$2,572.44	$3,523.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,914.00 / $11,056.50	Facility		$319.00	$4,914.00	$11,056.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,537.42 / $3,685.50 / $8,845.20	Professional		$2,537.42	$3,685.50	$8,845.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,323.00 / $2,323.00 / $2,323.00	Facility		$2,323.00	$2,323.00	$2,323.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,323.00 / $2,954.31 / $3,523.81	Professional		$2,323.00	$2,954.31	$3,523.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,523.90 / $4,914.00	Facility		$597.00	$3,523.90	$4,914.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $2,927.61 / $7,321.86	Professional		$2,572.44	$2,927.61	$7,321.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,634.36 / $2,881.43 / $4,370.76	Professional		$1,634.36	$2,881.43	$4,370.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,954.31 / $2,954.31 / $3,070.08	Facility		$2,954.31	$2,954.31	$3,070.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,323.00 / $2,954.31 / $3,138.95	Professional		$2,323.00	$2,954.31	$3,138.95