Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,859.98 / $4,043.00 / $10,296.00	Facility		$1,859.98	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,876.90 / $2,321.62 / $4,164.76	Professional		$1,876.90	$2,321.62	$4,164.76
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 $1,442.49 / $1,885.61 / $4,057.51	Professional		$1,442.49	$1,885.61	$4,057.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,437.23 / $2,437.23 / $37,499.62	Facility		$2,437.23	$2,437.23	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,437.23 / $2,437.23 / $2,437.23	Professional		$2,437.23	$2,437.23	$2,437.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,962.77 / $1,962.77 / $7,227.90	Facility		$1,962.77	$1,962.77	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,749.17 / $2,872.42 / $6,280.51	Professional		$1,749.17	$2,872.42	$6,280.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,045.05 / $12,996.06	Facility		$332.00	$3,045.05	$12,996.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,827.03 / $2,436.04 / $3,511.95	Professional		$1,827.03	$2,436.04	$3,511.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,205.15 / $1,647.32 / $2,799.49	Professional		$1,205.15	$1,647.32	$2,799.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,962.77 / $74,999.25	Facility		$555.00	$1,962.77	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,768.33 / $3,005.13 / $6,280.51	Professional		$1,768.33	$3,005.13	$6,280.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,515.00	Facility		$1,479.00	$4,114.00	$8,515.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,748.13 / $2,325.27 / $5,397.77	Professional		$1,748.13	$2,325.27	$5,397.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,157.59 / $2,157.59 / $6,448.64	Facility		$2,157.59	$2,157.59	$6,448.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,205.15 / $2,467.48 / $4,310.96	Professional		$1,205.15	$2,467.48	$4,310.96