Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $5,324.00 / $10,296.00	Facility		$2,559.00	$5,324.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,576.94 / $4,514.09 / $7,345.26	Professional		$3,576.94	$4,514.09	$7,345.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,336.12 / $4,142.89 / $8,285.81	Professional		$3,336.12	$4,142.89	$8,285.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,638.47 / $4,638.47 / $37,499.62	Facility		$4,638.47	$4,638.47	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,638.47 / $4,638.47 / $4,638.47	Professional		$4,638.47	$4,638.47	$4,638.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,818.26 / $3,818.26 / $7,227.90	Facility		$3,818.26	$3,818.26	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,305.12 / $5,474.37 / $11,814.10	Professional		$3,305.12	$5,474.37	$11,814.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $5,670.83 / $23,023.57	Facility		$332.00	$5,670.83	$23,023.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,538.64 / $4,718.18 / $6,802.05	Professional		$3,538.64	$4,718.18	$6,802.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,575.32 / $3,306.97 / $5,417.81	Professional		$2,575.32	$3,306.97	$5,417.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,818.26 / $74,999.25	Facility		$555.00	$3,818.26	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,116.01 / $5,189.53 / $11,459.91	Professional		$3,116.01	$5,189.53	$11,459.91
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 $3,374.25 / $4,562.51 / $10,276.11	Professional		$3,374.25	$4,562.51	$10,276.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,178.89 / $4,178.89 / $5,204.60	Facility		$4,178.89	$4,178.89	$5,204.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,575.32 / $4,178.89 / $6,591.48	Professional		$2,575.32	$4,178.89	$6,591.48