Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,050.38 / $4,910.00 / $11,396.00	Facility		$2,050.38	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,050.38 / $2,558.60 / $4,618.03	Professional		$2,050.38	$2,558.60	$4,618.03
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 $1,197.33 / $1,565.14 / $4,503.66	Professional		$1,197.33	$1,565.14	$4,503.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,706.21 / $2,706.21 / $37,499.62	Facility		$2,706.21	$2,706.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,706.21 / $2,706.21 / $2,706.21	Professional		$2,706.21	$2,706.21	$2,706.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,162.71 / $7,227.90 / $39,142.00	Facility		$2,162.71	$7,227.90	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,895.83 / $3,109.77 / $6,952.99	Professional		$1,895.83	$3,109.77	$6,952.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,510.95 / $15,367.10	Facility		$332.00	$3,510.95	$15,367.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,012.69 / $2,683.58 / $3,868.83	Professional		$2,012.69	$2,683.58	$3,868.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,298.03 / $1,813.70 / $3,238.72	Professional		$1,298.03	$1,813.70	$3,238.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,162.71 / $74,999.25	Facility		$555.00	$2,162.71	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,954.18 / $3,100.56 / $6,952.99	Professional		$1,954.18	$3,100.56	$6,952.99
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 $1,891.58 / $2,576.71 / $6,068.62	Professional		$1,891.58	$2,576.71	$6,068.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,375.51 / $2,375.51 / $6,005.59	Facility		$2,375.51	$2,375.51	$6,005.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,298.03 / $2,716.97 / $4,746.38	Professional		$1,298.03	$2,716.97	$4,746.38