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 / $11,996.00	Facility		$1,819.00	$5,324.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,755.27 / $2,059.34 / $5,960.00	Professional		$1,755.27	$2,059.34	$5,960.00
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 $1,373.20 / $1,769.59 / $4,956.30	Professional		$1,373.20	$1,769.59	$4,956.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,851.13 / $2,851.13 / $37,499.62	Facility		$2,851.13	$2,851.13	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,851.13 / $2,851.13 / $2,851.13	Professional		$2,851.13	$2,851.13	$2,851.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,272.13 / $2,272.13 / $7,227.90	Facility		$2,272.13	$2,272.13	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.75 / $3,559.31 / $7,400.44	Professional		$1,628.75	$3,559.31	$7,400.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,375.61 / $6,448.00	Facility		$319.00	$3,375.61	$6,448.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,351.94 / $2,719.24 / $4,069.49	Professional		$2,351.94	$2,719.24	$4,069.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,649.87 / $2,146.19 / $4,000.76	Professional		$1,649.87	$2,146.19	$4,000.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,272.13 / $23,610.00	Facility		$597.00	$2,272.13	$23,610.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,736.25 / $3,559.31 / $7,327.91	Professional		$1,736.25	$3,559.31	$7,327.91
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 $1,424.95 / $2,582.04 / $5,884.82	Professional		$1,424.95	$2,582.04	$5,884.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,146.19 / $2,146.19 / $7,161.38	Facility		$2,146.19	$2,146.19	$7,161.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,649.87 / $2,249.36 / $4,708.41	Professional		$1,649.87	$2,249.36	$4,708.41