Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,156.15 / $4,495.97 / $10,296.00	Facility		$2,156.15	$4,495.97	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,156.15 / $2,607.04 / $4,916.66	Professional		$2,156.15	$2,607.04	$4,916.66
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 $1,688.61 / $2,207.34 / $4,783.60	Professional		$1,688.61	$2,207.34	$4,783.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,859.85 / $2,859.85 / $37,499.62	Facility		$2,859.85	$2,859.85	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,859.85 / $2,859.85 / $2,859.85	Professional		$2,859.85	$2,859.85	$2,859.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,313.62 / $2,313.62 / $7,227.90	Facility		$2,313.62	$2,313.62	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,000.45 / $3,407.96 / $7,408.66	Professional		$2,000.45	$3,407.96	$7,408.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,592.89 / $16,434.88	Facility		$332.00	$3,592.89	$16,434.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,155.73 / $2,874.31 / $4,143.80	Professional		$2,155.73	$2,874.31	$4,143.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,375.37 / $1,932.36 / $3,450.60	Professional		$1,375.37	$1,932.36	$3,450.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,313.62 / $74,999.25	Facility		$555.00	$2,313.62	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,105.91 / $3,407.96 / $7,391.34	Professional		$2,105.91	$3,407.96	$7,391.34
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 $2,015.01 / $2,629.99 / $6,175.22	Professional		$2,015.01	$2,629.99	$6,175.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,530.92 / $2,530.92 / $7,484.00	Facility		$2,530.92	$2,530.92	$7,484.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,375.37 / $2,886.66 / $5,056.89	Professional		$1,375.37	$2,886.66	$5,056.89