Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.00 / $5,324.00 / $11,996.00	Facility		$1,837.00	$5,324.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.47 / $2,368.32 / $7,311.17	Professional		$1,889.47	$2,368.32	$7,311.17
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 $1,479.67 / $1,906.80 / $5,383.13	Professional		$1,479.67	$1,906.80	$5,383.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,069.15 / $3,069.15 / $37,499.62	Facility		$3,069.15	$3,069.15	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,069.15 / $3,069.15 / $3,069.15	Professional		$3,069.15	$3,069.15	$3,069.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,445.98 / $2,445.98 / $7,227.90	Facility		$2,445.98	$2,445.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,753.22 / $3,909.98 / $10,696.42	Professional		$1,753.22	$3,909.98	$10,696.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,693.20 / $6,876.75	Facility		$332.00	$3,693.20	$6,876.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,530.78 / $2,926.30 / $4,379.35	Professional		$2,530.78	$2,926.30	$4,379.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,779.61 / $2,018.14 / $4,305.59	Professional		$1,779.61	$2,018.14	$4,305.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,445.98 / $23,610.00	Facility		$597.00	$2,445.98	$23,610.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,811.34 / $3,909.98 / $8,750.94	Professional		$1,811.34	$3,909.98	$8,750.94
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 $1,533.86 / $2,761.82 / $6,219.90	Professional		$1,533.86	$2,761.82	$6,219.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,309.46 / $2,309.46 / $7,702.24	Facility		$2,309.46	$2,309.46	$7,702.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,796.54 / $2,677.42 / $5,066.60	Professional		$1,796.54	$2,677.42	$5,066.60