Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $6,442.20 / $14,926.00	Facility		$1,819.00	$6,442.20	$14,926.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.21 / $953.32 / $6,648.17	Professional		$502.21	$953.32	$6,648.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.95 / $687.74 / $1,413.89	Professional		$546.95	$687.74	$1,413.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,290.02 / $9,430.50 / $28,291.50	Facility		$1,290.02	$9,430.50	$28,291.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,290.02 / $1,290.02 / $1,290.02	Professional		$1,290.02	$1,290.02	$1,290.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $7,227.90 / $12,420.94	Facility		$7,227.90	$7,227.90	$12,420.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,075.63 / $39,219.18 / $39,219.18	Professional		$11,075.63	$39,219.18	$39,219.18
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 $7,736.32 / $11,604.47 / $18,170.23	Professional		$7,736.32	$11,604.47	$18,170.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $74,999.25	Facility		$555.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $588.51 / $588.51 / $1,225.38	Professional		$588.51	$588.51	$1,225.38
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 $788.32 / $1,304.65 / $11,277.49	Professional		$788.32	$1,304.65	$11,277.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $746.05 / $9,366.09 / $9,366.09	Facility		$746.05	$9,366.09	$9,366.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $746.05 / $9,366.09 / $19,648.66	Professional		$746.05	$9,366.09	$19,648.66