Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,055.78 / $2,434.46 / $4,506.32	Facility		$2,055.78	$2,434.46	$4,506.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,055.78 / $2,915.21 / $3,526.89	Professional		$2,055.78	$2,915.21	$3,526.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,594.18 / $5,706.06 / $11,188.36	Facility		$5,594.18	$5,706.06	$11,188.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,194.59 / $3,194.59 / $8,849.01	Professional		$3,194.59	$3,194.59	$8,849.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,334.51 / $4,660.76 / $4,660.76	Facility		$4,334.51	$4,660.76	$4,660.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,660.76 / $4,660.76 / $4,660.76	Professional		$4,660.76	$4,660.76	$4,660.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $3,943.38	Facility		$3,943.38	$3,943.38	$3,943.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $2,878.67 / $3,943.38	Professional		$2,878.67	$2,878.67	$3,943.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,594.18 / $12,586.91	Facility		$319.00	$5,594.18	$12,586.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,888.66 / $4,195.64 / $10,069.52	Professional		$2,888.66	$4,195.64	$10,069.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.28 / $3,565.28 / $3,565.28	Facility		$3,565.28	$3,565.28	$3,565.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,363.24 / $3,565.28 / $4,278.34	Professional		$3,363.24	$3,565.28	$4,278.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,943.38 / $5,594.18	Facility		$597.00	$3,943.38	$5,594.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $3,332.85 / $8,335.33	Professional		$2,878.67	$3,332.85	$8,335.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,860.58 / $3,443.70 / $5,116.60	Professional		$1,860.58	$3,443.70	$5,116.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,363.24 / $3,363.24 / $3,495.03	Facility		$3,363.24	$3,363.24	$3,495.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,363.24 / $3,363.24 / $3,573.44	Professional		$3,363.24	$3,363.24	$3,573.44