Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.42 / $4,792.00 / $10,296.00	Facility		$1,961.42	$4,792.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.42 / $2,800.34 / $5,700.33	Professional		$1,961.42	$2,800.34	$5,700.33
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 $1,952.12 / $2,551.80 / $6,019.32	Professional		$1,952.12	$2,551.80	$6,019.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,332.50 / $3,332.50 / $37,499.62	Facility		$3,332.50	$3,332.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,332.50 / $3,332.50 / $3,332.50	Professional		$3,332.50	$3,332.50	$3,332.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,696.98 / $2,696.98 / $7,227.90	Facility		$2,696.98	$2,696.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,291.23 / $4,237.10 / $8,803.78	Professional		$2,291.23	$4,237.10	$8,803.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,501.69 / $6,297.48	Facility		$319.00	$2,501.69	$6,297.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,751.87 / $3,143.09 / $4,842.06	Professional		$2,751.87	$3,143.09	$4,842.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,897.46 / $2,515.26 / $4,314.10	Professional		$1,897.46	$2,515.26	$4,314.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,696.98 / $7,227.90	Facility		$555.00	$2,696.98	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,415.03 / $4,140.18 / $8,741.11	Professional		$2,415.03	$4,140.18	$8,741.11
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 $1,997.63 / $3,127.13 / $8,448.36	Professional		$1,997.63	$3,127.13	$8,448.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,515.26 / $2,515.26 / $6,942.42	Facility		$2,515.26	$2,515.26	$6,942.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,915.36 / $2,717.70 / $5,470.47	Professional		$1,915.36	$2,717.70	$5,470.47