Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,263.75 / $4,648.00 / $10,296.00	Facility		$2,263.75	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,263.75 / $2,798.15 / $4,804.39	Professional		$2,263.75	$2,798.15	$4,804.39
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 $1,766.12 / $2,308.66 / $5,033.32	Professional		$1,766.12	$2,308.66	$5,033.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,992.93 / $2,992.93 / $37,499.62	Facility		$2,992.93	$2,992.93	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,992.93 / $2,992.93 / $2,992.93	Professional		$2,992.93	$2,992.93	$2,992.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,421.83 / $2,421.83 / $7,227.90	Facility		$2,421.83	$2,421.83	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,092.10 / $3,410.90 / $7,744.24	Professional		$2,092.10	$3,410.90	$7,744.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,607.00 / $14,888.02	Facility		$332.00	$3,607.00	$14,888.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,257.69 / $3,010.25 / $4,339.77	Professional		$2,257.69	$3,010.25	$4,339.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,423.46 / $2,023.94 / $3,614.13	Professional		$1,423.46	$2,023.94	$3,614.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,421.83 / $74,999.25	Facility		$555.00	$2,421.83	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,175.86 / $3,453.40 / $7,744.24	Professional		$2,175.86	$3,453.40	$7,744.24
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 $2,039.10 / $2,723.20 / $6,268.17	Professional		$2,039.10	$2,723.20	$6,268.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,650.86 / $2,650.86 / $6,677.07	Facility		$2,650.86	$2,650.86	$6,677.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,423.46 / $3,023.69 / $5,296.54	Professional		$1,423.46	$3,023.69	$5,296.54