Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,792.83 / $4,043.00 / $10,296.00	Facility		$1,792.83	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,656.84 / $2,053.61 / $3,655.33	Professional		$1,656.84	$2,053.61	$3,655.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,287.18 / $1,682.59 / $3,633.61	Professional		$1,287.18	$1,682.59	$3,633.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,171.86 / $2,171.86 / $37,499.62	Facility		$2,171.86	$2,171.86	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,171.86 / $2,171.86 / $2,171.86	Professional		$2,171.86	$2,171.86	$2,171.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.52 / $1,747.52 / $7,227.90	Facility		$1,747.52	$1,747.52	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,524.47 / $2,487.67 / $5,603.29	Professional		$1,524.47	$2,487.67	$5,603.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,250.00 / $4,063.48	Facility		$319.00	$2,250.00	$4,063.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.39 / $2,167.19 / $3,124.36	Professional		$1,625.39	$2,167.19	$3,124.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.63 / $1,464.78 / $2,615.65	Professional		$1,023.63	$1,464.78	$2,615.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,747.52 / $74,999.25	Facility		$555.00	$1,747.52	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,576.28 / $2,498.67 / $5,603.29	Professional		$1,576.28	$2,498.67	$5,603.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,433.62 / $1,968.18 / $4,603.83	Professional		$1,433.62	$1,968.18	$4,603.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,918.51 / $1,918.51 / $4,776.99	Facility		$1,918.51	$1,918.51	$4,776.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,023.63 / $2,194.21 / $3,833.26	Professional		$1,023.63	$2,194.21	$3,833.26