Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,728.87 / $2,047.33 / $3,789.71	Facility		$1,728.87	$2,047.33	$3,789.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.87 / $2,047.33 / $2,966.03	Professional		$1,728.87	$2,047.33	$2,966.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,704.55 / $4,798.64 / $9,409.10	Facility		$4,704.55	$4,798.64	$9,409.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,542.58 / $2,542.58 / $7,251.06	Professional		$2,542.58	$2,542.58	$7,251.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,645.21 / $3,919.58 / $3,919.58	Facility		$3,645.21	$3,919.58	$3,919.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,919.58 / $3,919.58 / $3,919.58	Professional		$3,919.58	$3,919.58	$3,919.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,148.57 / $3,148.57 / $3,148.57	Facility		$3,148.57	$3,148.57	$3,148.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $2,298.46 / $3,148.57	Professional		$2,298.46	$2,298.46	$3,148.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,704.55 / $10,585.24	Facility		$319.00	$4,704.55	$10,585.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,610.78 / $3,400.83 / $8,468.19	Professional		$2,610.78	$3,400.83	$8,468.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,400.83 / $3,400.83 / $3,400.83	Facility		$3,400.83	$3,400.83	$3,400.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,828.42 / $3,005.19 / $3,919.58	Professional		$2,828.42	$3,005.19	$3,919.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,148.57 / $4,704.55	Facility		$597.00	$3,148.57	$4,704.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $2,907.65 / $6,389.53	Professional		$2,298.46	$2,907.65	$6,389.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,564.70 / $2,787.00 / $4,302.93	Professional		$1,564.70	$2,787.00	$4,302.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,828.42 / $2,828.42 / $2,828.42	Facility		$2,828.42	$2,828.42	$2,828.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,828.42 / $2,828.42 / $3,400.83	Professional		$2,828.42	$2,828.42	$3,400.83