Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,043.00 / $10,296.00	Facility		$1,819.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,615.01 / $1,981.44 / $2,939.12	Professional		$1,615.01	$1,981.44	$2,939.12
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 $1,368.37 / $1,788.72 / $3,907.95	Professional		$1,368.37	$1,788.72	$3,907.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,325.73 / $2,325.73 / $37,499.62	Facility		$2,325.73	$2,325.73	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,325.73 / $2,325.73 / $2,325.73	Professional		$2,325.73	$2,325.73	$2,325.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,882.68 / $1,882.68 / $7,227.90	Facility		$1,882.68	$1,882.68	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,632.28 / $2,798.21 / $6,018.63	Professional		$1,632.28	$2,798.21	$6,018.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,074.00 / $14,185.64	Facility		$332.00	$3,074.00	$14,185.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,761.69 / $2,348.92 / $3,386.35	Professional		$1,761.69	$2,348.92	$3,386.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,133.83 / $1,579.65 / $2,820.77	Professional		$1,133.83	$1,579.65	$2,820.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,882.68 / $74,999.25	Facility		$555.00	$1,882.68	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,686.48 / $3,053.20 / $6,018.63	Professional		$1,686.48	$3,053.20	$6,018.63
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 $1,662.78 / $2,202.73 / $4,991.84	Professional		$1,662.78	$2,202.73	$4,991.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,068.96 / $2,068.96 / $6,302.03	Facility		$2,068.96	$2,068.96	$6,302.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,133.83 / $2,361.87 / $4,133.85	Professional		$1,133.83	$2,361.87	$4,133.85