Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,802.97 / $4,648.00 / $10,686.00	Facility		$1,802.97	$4,648.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,515.68 / $2,011.45 / $3,756.07	Professional		$1,515.68	$2,011.45	$3,756.07
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 $1,291.14 / $1,687.77 / $3,686.34	Professional		$1,291.14	$1,687.77	$3,686.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,194.94 / $2,194.94 / $37,499.62	Facility		$2,194.94	$2,194.94	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,194.94 / $2,194.94 / $2,194.94	Professional		$2,194.94	$2,194.94	$2,194.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,775.81 / $1,775.81 / $7,227.90	Facility		$1,775.81	$1,775.81	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,545.41 / $2,644.60 / $5,677.31	Professional		$1,545.41	$2,644.60	$5,677.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,817.00 / $13,012.30	Facility		$332.00	$2,817.00	$13,012.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,664.10 / $2,218.80 / $3,198.77	Professional		$1,664.10	$2,218.80	$3,198.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,069.60 / $1,490.91 / $2,662.30	Professional		$1,069.60	$1,490.91	$2,662.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,775.81 / $74,999.25	Facility		$555.00	$1,775.81	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,590.59 / $2,790.51 / $5,677.31	Professional		$1,590.59	$2,790.51	$5,677.31
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 $1,554.34 / $2,039.45 / $4,852.47	Professional		$1,554.34	$2,039.45	$4,852.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,952.73 / $1,952.73 / $5,949.97	Facility		$1,952.73	$1,952.73	$5,949.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,069.60 / $2,231.01 / $3,901.63	Professional		$1,069.60	$2,231.01	$3,901.63