Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,972.00 / $10,674.00	Facility		$2,220.00	$4,972.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,156.83 / $2,432.94 / $7,313.57	Professional		$2,156.83	$2,432.94	$7,313.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,143.10 / $2,661.37 / $5,824.17	Professional		$2,143.10	$2,661.37	$5,824.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,652.50 / $3,802.28 / $10,957.50	Facility		$3,652.50	$3,802.28	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,802.28 / $3,802.28 / $3,802.28	Professional		$3,802.28	$3,802.28	$3,802.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,036.35 / $3,036.35 / $3,036.35	Facility		$3,036.35	$3,036.35	$3,036.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.50 / $3,505.00 / $8,680.54	Professional		$1,752.50	$3,505.00	$8,680.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,867.46 / $7,083.45	Facility		$332.00	$2,867.46	$7,083.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,154.21 / $3,656.01 / $7,776.05	Professional		$3,154.21	$3,656.01	$7,776.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,101.94 / $2,509.67 / $4,942.93	Professional		$2,101.94	$2,509.67	$4,942.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,036.35 / $74,999.25	Facility		$555.00	$3,036.35	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,431.23 / $3,631.77 / $9,062.85	Professional		$2,431.23	$3,631.77	$9,062.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,883.00 / $3,670.00 / $7,203.00	Facility		$1,883.00	$3,670.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,807.29 / $3,148.20 / $6,793.20	Professional		$1,807.29	$3,148.20	$6,793.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,871.83 / $2,871.83 / $8,970.24	Facility		$2,871.83	$2,871.83	$8,970.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,101.94 / $2,871.83 / $7,772.72	Professional		$2,101.94	$2,871.83	$7,772.72