Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,975.76 / $4,648.00 / $10,296.00	Facility		$1,975.76	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,361.96 / $3,113.28 / $5,865.95	Professional		$2,361.96	$3,113.28	$5,865.95
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 $2,013.66 / $2,632.24 / $5,624.97	Professional		$2,013.66	$2,632.24	$5,624.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,414.46 / $3,414.46 / $37,499.62	Facility		$3,414.46	$3,414.46	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,414.46 / $3,414.46 / $3,414.46	Professional		$3,414.46	$3,414.46	$3,414.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,762.57 / $2,762.57 / $7,227.90	Facility		$2,762.57	$2,762.57	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,364.42 / $3,709.19 / $8,844.26	Professional		$2,364.42	$3,709.19	$8,844.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,833.00 / $15,561.98	Facility		$332.00	$3,833.00	$15,561.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,573.54 / $3,431.39 / $4,946.92	Professional		$2,573.54	$3,431.39	$4,946.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,267.50 / $2,307.59 / $3,910.41	Professional		$1,267.50	$2,307.59	$3,910.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,762.57 / $74,999.25	Facility		$555.00	$2,762.57	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,472.58 / $3,783.24 / $8,798.09	Professional		$2,472.58	$3,783.24	$8,798.09
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 $2,213.65 / $3,139.51 / $7,601.21	Professional		$2,213.65	$3,139.51	$7,601.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,022.38 / $3,022.38 / $6,531.83	Facility		$3,022.38	$3,022.38	$6,531.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,267.50 / $3,446.65 / $5,789.84	Professional		$1,267.50	$3,446.65	$5,789.84