Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.00 / $4,910.00 / $11,396.00	Facility		$1,837.00	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,863.78 / $2,162.81 / $4,600.58	Professional		$1,863.78	$2,162.81	$4,600.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,190.52 / $1,556.24 / $4,357.47	Professional		$1,190.52	$1,556.24	$4,357.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,190.34 / $3,410.50 / $37,499.62	Facility		$2,190.34	$3,410.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,190.34 / $2,190.34 / $2,190.34	Professional		$2,190.34	$2,190.34	$2,190.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,762.61 / $1,762.61 / $7,227.90	Facility		$1,762.61	$1,762.61	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,612.82 / $2,982.84 / $6,366.74	Professional		$1,612.82	$2,982.84	$6,366.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,448.00 / $61,807.00	Facility		$332.00	$2,448.00	$61,807.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,635.60 / $2,180.80 / $3,143.98	Professional		$1,635.60	$2,180.80	$3,143.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,324.31 / $1,889.97 / $2,631.92	Professional		$1,324.31	$1,889.97	$2,631.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,762.61 / $74,999.25	Facility		$555.00	$1,762.61	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,772.36 / $2,941.31 / $5,778.65	Professional		$1,772.36	$2,941.31	$5,778.65
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 $1,573.31 / $2,204.19 / $5,147.71	Professional		$1,573.31	$2,204.19	$5,147.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,930.44 / $1,930.44 / $3,937.43	Facility		$1,930.44	$1,930.44	$3,937.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,324.31 / $1,930.44 / $3,450.77	Professional		$1,324.31	$1,930.44	$3,450.77