Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.53 / $1,942.72 / $3,596.08	Facility		$1,640.53	$1,942.72	$3,596.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.53 / $1,993.07 / $2,814.49	Professional		$1,640.53	$1,993.07	$2,814.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.20 / $4,553.47 / $8,928.40	Facility		$4,464.20	$4,553.47	$8,928.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,578.42 / $2,578.42 / $7,078.75	Professional		$2,578.42	$2,578.42	$7,078.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,458.97 / $3,719.32 / $3,719.32	Facility		$3,458.97	$3,719.32	$3,719.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,719.32 / $3,719.32 / $3,719.32	Professional		$3,719.32	$3,719.32	$3,719.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $2,741.63	Facility		$2,741.63	$2,741.63	$2,741.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,001.39 / $2,741.63	Professional		$2,001.39	$2,001.39	$2,741.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,464.20 / $10,044.45	Facility		$319.00	$4,464.20	$10,044.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,581.64 / $3,348.15 / $8,035.56	Professional		$2,581.64	$3,348.15	$8,035.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,227.05 / $3,227.05 / $3,227.05	Facility		$3,227.05	$3,227.05	$3,227.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,683.88 / $2,851.63 / $3,719.32	Professional		$2,683.88	$2,851.63	$3,719.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,741.63 / $4,464.20	Facility		$597.00	$2,741.63	$4,464.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,741.63 / $6,537.66	Professional		$2,001.39	$2,741.63	$6,537.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,484.76 / $2,678.52 / $4,083.09	Professional		$1,484.76	$2,678.52	$4,083.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,683.88 / $2,683.88 / $2,683.88	Facility		$2,683.88	$2,683.88	$2,683.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,683.88 / $2,683.88 / $3,227.05	Professional		$2,683.88	$2,683.88	$3,227.05