Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,910.00 / $11,396.00	Facility		$1,819.00	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,729.38 / $2,140.67 / $3,800.00	Professional		$1,729.38	$2,140.67	$3,800.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,584.00 / $8,170.00 / $16,174.00	Facility		$4,584.00	$8,170.00	$16,174.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,328.48 / $1,736.58 / $3,798.34	Professional		$1,328.48	$1,736.58	$3,798.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,269.38 / $2,269.38 / $37,499.62	Facility		$2,269.38	$2,269.38	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,269.38 / $2,269.38 / $2,269.38	Professional		$2,269.38	$2,269.38	$2,269.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,836.36 / $7,227.90 / $39,142.00	Facility		$1,836.36	$7,227.90	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,579.54 / $2,560.12 / $5,865.19	Professional		$1,579.54	$2,560.12	$5,865.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,859.57 / $11,818.66	Facility		$332.00	$2,859.57	$11,818.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,715.74 / $2,287.66 / $3,298.04	Professional		$1,715.74	$2,287.66	$3,298.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,074.98 / $1,539.32 / $2,748.77	Professional		$1,074.98	$1,539.32	$2,748.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,836.36 / $74,999.25	Facility		$555.00	$1,836.36	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,646.05 / $2,607.42 / $5,847.14	Professional		$1,646.05	$2,607.42	$5,847.14
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 $1,609.42 / $2,175.19 / $5,110.43	Professional		$1,609.42	$2,175.19	$5,110.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,016.15 / $2,016.15 / $5,469.06	Facility		$2,016.15	$2,016.15	$5,469.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,074.98 / $2,300.46 / $4,028.35	Professional		$1,074.98	$2,300.46	$4,028.35