Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,828.00 / $10,674.00	Facility		$1,819.00	$4,828.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.06 / $1,604.86 / $4,813.22	Professional		$1,403.06	$1,604.86	$4,813.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,405.77 / $1,727.36 / $3,627.39	Professional		$1,405.77	$1,727.36	$3,627.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,390.00 / $2,503.69 / $10,957.50	Facility		$2,390.00	$2,503.69	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,503.69 / $2,503.69 / $2,503.69	Professional		$2,503.69	$2,503.69	$2,503.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.44 / $2,001.44 / $2,001.44	Facility		$2,001.44	$2,001.44	$2,001.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,154.69 / $2,298.73 / $5,692.97	Professional		$1,154.69	$2,298.73	$5,692.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,897.88 / $4,685.60	Facility		$332.00	$1,897.88	$4,685.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,087.67 / $2,419.80 / $5,143.75	Professional		$2,087.67	$2,419.80	$5,143.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,324.36 / $1,659.80 / $3,267.25	Professional		$1,324.36	$1,659.80	$3,267.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,001.44 / $74,999.25	Facility		$555.00	$2,001.44	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,592.50 / $2,355.31 / $5,692.97	Professional		$1,592.50	$2,355.31	$5,692.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,248.00 / $11,200.00	Facility		$2,160.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,237.61 / $1,986.96 / $4,488.08	Professional		$1,237.61	$1,986.96	$4,488.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,898.25 / $1,898.25 / $5,575.89	Facility		$1,898.25	$1,898.25	$5,575.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,324.36 / $1,898.25 / $4,897.33	Professional		$1,324.36	$1,898.25	$4,897.33