Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,402.73 / $5,228.00 / $10,296.00	Facility		$2,402.73	$5,228.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,402.73 / $3,525.83 / $7,093.74	Professional		$2,402.73	$3,525.83	$7,093.74
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 $2,439.17 / $3,188.46 / $7,287.49	Professional		$2,439.17	$3,188.46	$7,287.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,203.58 / $4,203.58 / $37,499.62	Facility		$4,203.58	$4,203.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,203.58 / $4,203.58 / $4,203.58	Professional		$4,203.58	$4,203.58	$4,203.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,305.09 / $3,305.09 / $7,227.90	Facility		$3,305.09	$3,305.09	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,229.21 / $5,094.68 / $10,819.44	Professional		$2,229.21	$5,094.68	$10,819.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,790.00 / $7,564.57	Facility		$319.00	$2,790.00	$7,564.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,362.03 / $3,947.26 / $5,907.28	Professional		$3,362.03	$3,947.26	$5,907.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,414.03 / $3,174.05 / $5,387.92	Professional		$2,414.03	$3,174.05	$5,387.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,305.09 / $7,227.90	Facility		$555.00	$3,305.09	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,485.21 / $5,058.75 / $10,819.44	Professional		$2,485.21	$5,058.75	$10,819.44
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 $2,494.29 / $3,689.49 / $8,379.79	Professional		$2,494.29	$3,689.49	$8,379.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,174.05 / $3,174.05 / $8,488.31	Facility		$3,174.05	$3,174.05	$8,488.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,414.03 / $3,647.99 / $6,903.28	Professional		$2,414.03	$3,647.99	$6,903.28