Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,418.09 / $4,648.00 / $10,296.00	Facility		$2,418.09	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,552.67 / $3,182.29 / $6,204.62	Professional		$2,552.67	$3,182.29	$6,204.62
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 $1,984.52 / $2,594.15 / $5,546.20	Professional		$1,984.52	$2,594.15	$5,546.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,346.49 / $3,346.49 / $37,499.62	Facility		$3,346.49	$3,346.49	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,346.49 / $3,346.49 / $3,346.49	Professional		$3,346.49	$3,346.49	$3,346.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,692.72 / $2,692.72 / $7,227.90	Facility		$2,692.72	$2,692.72	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,319.75 / $3,778.29 / $8,665.14	Professional		$2,319.75	$3,778.29	$8,665.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,871.00 / $13,785.79	Facility		$332.00	$2,871.00	$13,785.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,496.42 / $3,328.56 / $4,798.67	Professional		$2,496.42	$3,328.56	$4,798.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,484.73 / $2,251.91 / $4,021.23	Professional		$1,484.73	$2,251.91	$4,021.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,692.72 / $74,999.25	Facility		$555.00	$2,692.72	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,426.69 / $3,778.29 / $8,531.90	Professional		$2,426.69	$3,778.29	$8,531.90
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 $2,137.82 / $3,059.50 / $8,274.87	Professional		$2,137.82	$3,059.50	$8,274.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,949.46 / $2,949.46 / $6,893.07	Facility		$2,949.46	$2,949.46	$6,893.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,484.73 / $3,369.91 / $5,893.15	Professional		$1,484.73	$3,369.91	$5,893.15