Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,324.00 / $10,965.00	Facility		$1,819.00	$5,324.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,538.86 / $1,916.92 / $5,926.96	Professional		$1,538.86	$1,916.92	$5,926.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,584.00 / $8,170.00 / $16,174.00	Facility		$4,584.00	$8,170.00	$16,174.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,204.83 / $1,552.64 / $4,401.80	Professional		$1,204.83	$1,552.64	$4,401.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,496.41 / $2,496.41 / $37,499.62	Facility		$2,496.41	$2,496.41	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,496.41 / $2,496.41 / $2,496.41	Professional		$2,496.41	$2,496.41	$2,496.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.13 / $1,995.13 / $7,227.90	Facility		$1,995.13	$1,995.13	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.46 / $3,164.95 / $8,626.43	Professional		$1,427.46	$3,164.95	$8,626.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,022.08 / $5,501.40	Facility		$332.00	$3,022.08	$5,501.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,071.76 / $2,394.54 / $5,117.25	Professional		$2,071.76	$2,394.54	$5,117.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,447.53 / $1,887.96 / $3,514.91	Professional		$1,447.53	$1,887.96	$3,514.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,995.13 / $23,610.00	Facility		$597.00	$1,995.13	$23,610.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,543.88 / $3,164.95 / $7,046.05	Professional		$1,543.88	$3,164.95	$7,046.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $32,490.00	Facility		$2,337.00	$6,450.00	$32,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,244.69 / $2,209.50 / $4,953.59	Professional		$1,244.69	$2,209.50	$4,953.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,887.96 / $1,887.96 / $6,301.02	Facility		$1,887.96	$1,887.96	$6,301.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,456.93 / $2,188.75 / $4,141.87	Professional		$1,456.93	$2,188.75	$4,141.87