Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $5,228.00 / $10,296.00	Facility		$2,559.00	$5,228.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,110.21 / $3,821.66 / $7,211.21	Professional		$3,110.21	$3,821.66	$7,211.21
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 $2,660.36 / $3,477.60 / $7,458.63	Professional		$2,660.36	$3,477.60	$7,458.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,492.27 / $4,492.27 / $37,499.62	Facility		$4,492.27	$4,492.27	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,492.27 / $4,492.27 / $4,492.27	Professional		$4,492.27	$4,492.27	$4,492.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,615.50 / $3,615.50 / $7,227.90	Facility		$3,615.50	$3,615.50	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,148.63 / $5,069.87 / $11,647.67	Professional		$3,148.63	$5,069.87	$11,647.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,704.00 / $19,098.24	Facility		$332.00	$4,704.00	$19,098.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,353.34 / $4,471.12 / $6,445.86	Professional		$3,353.34	$4,471.12	$6,445.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,170.02 / $3,024.44 / $5,400.72	Professional		$2,170.02	$3,024.44	$5,400.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,615.50 / $74,999.25	Facility		$555.00	$3,615.50	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,259.30 / $5,194.06 / $11,647.67	Professional		$3,259.30	$5,194.06	$11,647.67
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 $2,931.09 / $4,139.53 / $10,010.59	Professional		$2,931.09	$4,139.53	$10,010.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,961.28 / $3,961.28 / $9,888.70	Facility		$3,961.28	$3,961.28	$9,888.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,170.02 / $4,526.63 / $7,914.81	Professional		$2,170.02	$4,526.63	$7,914.81