Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,970.48 / $4,180.07 / $10,296.00	Facility		$1,970.48	$4,180.07	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,970.48 / $2,371.62 / $3,195.45	Professional		$1,970.48	$2,371.62	$3,195.45
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 $1,548.86 / $2,024.66 / $4,350.53	Professional		$1,548.86	$2,024.66	$4,350.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,604.00 / $2,604.00 / $37,499.62	Facility		$2,604.00	$2,604.00	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,604.00 / $2,604.00 / $2,604.00	Professional		$2,604.00	$2,604.00	$2,604.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,096.57 / $2,096.57 / $7,227.90	Facility		$2,096.57	$2,096.57	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,834.69 / $2,955.93 / $6,721.80	Professional		$1,834.69	$2,955.93	$6,721.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,250.22 / $14,279.02	Facility		$332.00	$3,250.22	$14,279.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.13 / $2,600.17 / $3,748.58	Professional		$1,950.13	$2,600.17	$3,748.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,252.73 / $1,757.87 / $2,987.20	Professional		$1,252.73	$1,757.87	$2,987.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,096.57 / $74,999.25	Facility		$555.00	$2,096.57	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,890.72 / $2,997.46 / $6,721.80	Professional		$1,890.72	$2,997.46	$6,721.80
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 $1,842.93 / $2,434.65 / $5,573.77	Professional		$1,842.93	$2,434.65	$5,573.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,302.38 / $2,302.38 / $6,494.23	Facility		$2,302.38	$2,302.38	$6,494.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,252.73 / $2,632.93 / $4,600.26	Professional		$1,252.73	$2,632.93	$4,600.26