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 $1,751.96 / $2,159.39 / $3,809.16	Professional		$1,751.96	$2,159.39	$3,809.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,608.00 / $14,193.00	Facility		$4,568.00	$7,608.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.90 / $1,318.83 / $3,818.37	Professional		$1,008.90	$1,318.83	$3,818.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,267.40 / $2,267.40 / $37,499.62	Facility		$2,267.40	$2,267.40	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,267.40 / $2,267.40 / $2,267.40	Professional		$2,267.40	$2,267.40	$2,267.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,824.40 / $7,227.90 / $39,142.00	Facility		$1,824.40	$7,227.90	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,602.11 / $2,617.65 / $5,838.10	Professional		$1,602.11	$2,617.65	$5,838.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,940.55 / $12,845.84	Facility		$332.00	$2,940.55	$12,845.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,700.57 / $2,267.42 / $3,268.87	Professional		$1,700.57	$2,267.42	$3,268.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,087.68 / $1,531.93 / $2,735.56	Professional		$1,087.68	$1,531.93	$2,735.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,824.40 / $74,999.25	Facility		$555.00	$1,824.40	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,643.96 / $2,608.06 / $5,838.10	Professional		$1,643.96	$2,608.06	$5,838.10
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 $1,541.26 / $2,132.09 / $5,285.38	Professional		$1,541.26	$2,132.09	$5,285.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,006.46 / $2,006.46 / $5,031.88	Facility		$2,006.46	$2,006.46	$5,031.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,087.68 / $2,295.96 / $4,008.99	Professional		$1,087.68	$2,295.96	$4,008.99