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 $1,771.57 / $2,211.34 / $3,978.34	Professional		$1,771.57	$2,211.34	$3,978.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,372.89 / $1,794.64 / $3,880.76	Professional		$1,372.89	$1,794.64	$3,880.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,321.32 / $2,321.32 / $37,499.62	Facility		$2,321.32	$2,321.32	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,321.32 / $2,321.32 / $2,321.32	Professional		$2,321.32	$2,321.32	$2,321.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.52 / $1,868.52 / $7,227.90	Facility		$1,868.52	$1,868.52	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,642.85 / $2,672.92 / $5,976.93	Professional		$1,642.85	$2,672.92	$5,976.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,967.00 / $13,694.38	Facility		$332.00	$2,967.00	$13,694.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,740.20 / $2,320.27 / $3,345.06	Professional		$1,740.20	$2,320.27	$3,345.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.58 / $1,568.56 / $2,800.97	Professional		$1,126.58	$1,568.56	$2,800.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,868.52 / $74,999.25	Facility		$555.00	$1,868.52	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,684.09 / $2,947.60 / $5,976.93	Professional		$1,684.09	$2,947.60	$5,976.93
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 $1,618.35 / $2,131.88 / $4,915.79	Professional		$1,618.35	$2,131.88	$4,915.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,054.42 / $2,054.42 / $6,005.83	Facility		$2,054.42	$2,054.42	$6,005.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,126.58 / $2,054.42 / $4,104.84	Professional		$1,126.58	$2,054.42	$4,104.84