Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,630.72 / $1,931.12 / $3,574.59	Facility		$1,630.72	$1,931.12	$3,574.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.72 / $1,957.63 / $2,797.67	Professional		$1,630.72	$1,957.63	$2,797.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.52 / $4,526.27 / $8,875.04	Facility		$4,437.52	$4,526.27	$8,875.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,731.58 / $2,731.58 / $7,279.66	Professional		$2,731.58	$2,731.58	$7,279.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,438.30 / $3,697.10 / $3,697.10	Facility		$3,438.30	$3,697.10	$3,697.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,697.10 / $3,697.10 / $3,697.10	Professional		$3,697.10	$3,697.10	$3,697.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,941.06 / $2,941.06 / $2,941.06	Facility		$2,941.06	$2,941.06	$2,941.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,146.96 / $2,941.06	Professional		$2,146.96	$2,146.96	$2,941.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,437.52 / $9,984.42	Facility		$319.00	$4,437.52	$9,984.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,566.21 / $3,283.76 / $7,987.54	Professional		$2,566.21	$3,283.76	$7,987.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,207.77 / $3,207.77 / $3,207.77	Facility		$3,207.77	$3,207.77	$3,207.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,667.85 / $2,834.59 / $3,697.10	Professional		$2,667.85	$2,834.59	$3,697.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,941.06 / $4,437.52	Facility		$597.00	$2,941.06	$4,437.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,719.95 / $6,878.16	Professional		$2,146.96	$2,719.95	$6,878.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,475.89 / $2,662.51 / $4,058.69	Professional		$1,475.89	$2,662.51	$4,058.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,667.85 / $2,667.85 / $2,667.85	Facility		$2,667.85	$2,667.85	$2,667.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,667.85 / $2,667.85 / $3,207.77	Professional		$2,667.85	$2,667.85	$3,207.77