Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,488.00 / $7,950.00 / $14,000.00	Facility		$3,488.00	$7,950.00	$14,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,725.00 / $4,275.00 / $5,000.00	Professional		$2,725.00	$4,275.00	$5,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $13,000.00	Facility		$5,000.00	$5,000.00	$13,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $11,050.00	Professional		$2,000.00	$2,000.00	$11,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,257.50 / $7,276.71 / $17,464.20	Facility		$4,257.50	$7,276.71	$17,464.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,089.96 / $24,100.00 / $24,100.00	Professional		$6,089.96	$24,100.00	$24,100.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,402.60 / $11,250.00	Facility		$332.00	$3,402.60	$11,250.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,250.00 / $6,550.00 / $10,850.00	Professional		$5,250.00	$6,550.00	$10,850.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,250.00 / $5,000.00 / $9,066.46	Professional		$4,250.00	$5,000.00	$9,066.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $7,276.71 / $18,000.43	Facility		$597.00	$7,276.71	$18,000.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,250.00 / $5,450.00 / $11,500.00	Professional		$3,250.00	$5,450.00	$11,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $3,000.00 / $7,849.25	Professional		$2,100.00	$3,000.00	$7,849.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $5,749.88 / $5,749.88	Facility		$5,000.00	$5,749.88	$5,749.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,250.00 / $5,000.00 / $6,009.58	Professional		$4,250.00	$5,000.00	$6,009.58