Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $5,370.00 / $10,965.00	Facility		$2,559.00	$5,370.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,447.25 / $3,447.25 / $4,199.00	Professional		$3,447.25	$3,447.25	$4,199.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.09 / $999.91 / $1,957.62	Professional		$830.09	$999.91	$1,957.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,581.77 / $9,430.50 / $28,291.50	Facility		$1,581.77	$9,430.50	$28,291.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,581.77 / $1,581.77 / $1,581.77	Professional		$1,581.77	$1,581.77	$1,581.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,582.58 / $6,582.58 / $7,227.90	Facility		$6,582.58	$6,582.58	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24,931.59 / $24,931.59 / $24,931.59	Professional		$24,931.59	$24,931.59	$24,931.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $14,611.60 / $24,839.72	Facility		$294.00	$14,611.60	$24,839.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9,139.64 / $13,479.13 / $24,787.89	Professional		$9,139.64	$13,479.13	$24,787.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,917.97 / $7,376.96 / $10,793.44	Professional		$4,917.97	$7,376.96	$10,793.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $6,582.58 / $74,999.25	Facility		$555.00	$6,582.58	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $536.00 / $536.00 / $1,116.06	Professional		$536.00	$536.00	$1,116.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $17,688.00	Facility		$2,705.00	$7,719.00	$17,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.53 / $1,612.75 / $6,632.02	Professional		$1,019.53	$1,612.75	$6,632.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,101.73 / $5,563.62 / $5,563.62	Facility		$1,101.73	$5,563.62	$5,563.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,101.73 / $5,563.62 / $11,671.65	Professional		$1,101.73	$5,563.62	$11,671.65