Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,790.42 / $4,043.00 / $10,296.00	Facility		$1,790.42	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,662.59 / $2,073.07 / $3,714.44	Professional		$1,662.59	$2,073.07	$3,714.44
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 $1,287.18 / $1,682.59 / $3,663.79	Professional		$1,287.18	$1,682.59	$3,663.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,176.27 / $2,176.27 / $37,499.62	Facility		$2,176.27	$2,176.27	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,176.27 / $2,176.27 / $2,176.27	Professional		$2,176.27	$2,176.27	$2,176.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,752.08 / $1,752.08 / $7,227.90	Facility		$1,752.08	$1,752.08	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.75 / $2,499.52 / $5,608.74	Professional		$1,541.75	$2,499.52	$5,608.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,720.15 / $11,968.88	Facility		$332.00	$2,720.15	$11,968.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,632.09 / $2,176.12 / $3,137.23	Professional		$1,632.09	$2,176.12	$3,137.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,057.30 / $1,470.85 / $2,626.48	Professional		$1,057.30	$1,470.85	$2,626.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,752.08 / $74,999.25	Facility		$555.00	$1,752.08	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,578.41 / $2,586.75 / $5,608.74	Professional		$1,578.41	$2,586.75	$5,608.74
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 $1,411.42 / $2,044.08 / $4,674.97	Professional		$1,411.42	$2,044.08	$4,674.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,926.45 / $1,926.45 / $5,565.44	Facility		$1,926.45	$1,926.45	$5,565.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,057.30 / $2,203.73 / $3,849.14	Professional		$1,057.30	$2,203.73	$3,849.14