Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,931.00 / $4,792.00 / $10,296.00	Facility		$1,931.00	$4,792.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,931.00 / $2,740.41 / $5,584.11	Professional		$1,931.00	$2,740.41	$5,584.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $16,411.00	Facility		$4,989.00	$9,720.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,913.57 / $2,501.41 / $5,919.08	Professional		$1,913.57	$2,501.41	$5,919.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,263.77 / $3,263.77 / $37,499.62	Facility		$3,263.77	$3,263.77	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,263.77 / $3,263.77 / $3,263.77	Professional		$3,263.77	$3,263.77	$3,263.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,641.07 / $2,641.07 / $7,227.90	Facility		$2,641.07	$2,641.07	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,257.92 / $4,177.49 / $8,630.84	Professional		$2,257.92	$4,177.49	$8,630.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,443.85 / $6,156.05	Facility		$319.00	$2,443.85	$6,156.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,688.24 / $3,070.93 / $4,733.31	Professional		$2,688.24	$3,070.93	$4,733.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,870.05 / $2,458.67 / $4,217.06	Professional		$1,870.05	$2,458.67	$4,217.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,641.07 / $7,227.90	Facility		$555.00	$2,641.07	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,276.67 / $4,072.92 / $8,580.37	Professional		$2,276.67	$4,072.92	$8,580.37
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 $1,941.77 / $2,990.50 / $7,252.84	Professional		$1,941.77	$2,990.50	$7,252.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,458.67 / $2,458.67 / $6,851.37	Facility		$2,458.67	$2,458.67	$6,851.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,878.50 / $2,825.80 / $5,347.41	Professional		$1,878.50	$2,825.80	$5,347.41