Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,092.05 / $4,437.83 / $10,296.00	Facility		$2,092.05	$4,437.83	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,938.85 / $2,405.19 / $3,896.51	Professional		$1,938.85	$2,405.19	$3,896.51
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 $1,661.45 / $2,171.84 / $4,688.87	Professional		$1,661.45	$2,171.84	$4,688.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,822.87 / $2,822.87 / $37,499.62	Facility		$2,822.87	$2,822.87	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,822.87 / $2,822.87 / $2,822.87	Professional		$2,822.87	$2,822.87	$2,822.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,284.40 / $2,284.40 / $7,227.90	Facility		$2,284.40	$2,284.40	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.23 / $3,154.95 / $7,281.61	Professional		$1,961.23	$3,154.95	$7,281.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,262.00 / $13,243.72	Facility		$332.00	$3,262.00	$13,243.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,124.06 / $2,832.08 / $4,082.92	Professional		$2,124.06	$2,832.08	$4,082.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.59 / $1,911.97 / $3,414.21	Professional		$1,318.59	$1,911.97	$3,414.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,284.40 / $74,999.25	Facility		$555.00	$2,284.40	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,054.50 / $3,247.09 / $7,281.61	Professional		$2,054.50	$3,247.09	$7,281.61
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 $1,921.39 / $2,628.46 / $6,258.17	Professional		$1,921.39	$2,628.46	$6,258.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,504.23 / $2,504.23 / $6,085.11	Facility		$2,504.23	$2,504.23	$6,085.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,318.59 / $2,504.23 / $5,003.55	Professional		$1,318.59	$2,504.23	$5,003.55