Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,043.85 / $4,515.52 / $10,296.00	Facility		$2,043.85	$4,515.52	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,090.59 / $2,715.75 / $4,939.34	Professional		$2,090.59	$2,715.75	$4,939.34
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 $1,695.68 / $2,216.58 / $4,778.18	Professional		$1,695.68	$2,216.58	$4,778.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,872.29 / $2,872.29 / $37,499.62	Facility		$2,872.29	$2,872.29	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,872.29 / $2,872.29 / $2,872.29	Professional		$2,872.29	$2,872.29	$2,872.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,322.13 / $2,322.13 / $7,227.90	Facility		$2,322.13	$2,322.13	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,006.51 / $3,230.40 / $7,449.06	Professional		$2,006.51	$3,230.40	$7,449.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,214.00 / $13,048.84	Facility		$332.00	$3,214.00	$13,048.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,160.46 / $2,880.61 / $4,152.88	Professional		$2,160.46	$2,880.61	$4,152.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,335.92 / $1,937.41 / $3,281.57	Professional		$1,335.92	$1,937.41	$3,281.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,322.13 / $74,999.25	Facility		$555.00	$2,322.13	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,088.83 / $3,321.77 / $7,449.06	Professional		$2,088.83	$3,321.77	$7,449.06
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 $1,950.54 / $2,642.48 / $6,093.16	Professional		$1,950.54	$2,642.48	$6,093.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,537.54 / $2,537.54 / $6,109.71	Facility		$2,537.54	$2,537.54	$6,109.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,335.92 / $2,537.54 / $5,070.12	Professional		$1,335.92	$2,537.54	$5,070.12