Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,257.61 / $4,991.26 / $10,296.00	Facility		$2,257.61	$4,991.26	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,257.61 / $3,355.86 / $6,705.47	Professional		$2,257.61	$3,355.86	$6,705.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,268.00 / $12,869.00	Facility		$4,100.00	$7,268.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,304.39 / $3,012.28 / $6,905.63	Professional		$2,304.39	$3,012.28	$6,905.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,988.13 / $3,988.13 / $37,499.62	Facility		$3,988.13	$3,988.13	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,988.13 / $3,988.13 / $3,988.13	Professional		$3,988.13	$3,988.13	$3,988.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,154.49 / $3,154.49 / $7,227.90	Facility		$3,154.49	$3,154.49	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,120.73 / $4,781.97 / $10,265.10	Professional		$2,120.73	$4,781.97	$10,265.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,250.00 / $7,214.40	Facility		$319.00	$2,250.00	$7,214.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,206.40 / $3,766.94 / $5,637.42	Professional		$3,206.40	$3,766.94	$5,637.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,250.08 / $3,026.27 / $5,137.07	Professional		$2,250.08	$3,026.27	$5,137.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,154.49 / $7,227.90	Facility		$555.00	$3,154.49	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,332.67 / $4,791.33 / $10,178.79	Professional		$2,332.67	$4,791.33	$10,178.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,252.75 / $3,501.29 / $7,950.46	Professional		$2,252.75	$3,501.29	$7,950.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,026.27 / $3,026.27 / $7,903.64	Facility		$3,026.27	$3,026.27	$7,903.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,250.08 / $3,478.15 / $6,581.88	Professional		$2,250.08	$3,478.15	$6,581.88