Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.29 / $4,043.00 / $10,296.00	Facility		$1,828.29	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,654.27 / $2,279.81 / $4,533.45	Professional		$1,654.27	$2,279.81	$4,533.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,608.00 / $14,193.00	Facility		$4,568.00	$7,608.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.83 / $1,391.95 / $4,011.08	Professional		$1,064.83	$1,391.95	$4,011.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,399.62 / $2,399.62 / $37,499.62	Facility		$2,399.62	$2,399.62	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,399.62 / $2,399.62 / $2,399.62	Professional		$2,399.62	$2,399.62	$2,399.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,940.15 / $1,940.15 / $7,227.90	Facility		$1,940.15	$1,940.15	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,697.30 / $2,887.26 / $6,205.71	Professional		$1,697.30	$2,887.26	$6,205.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,180.54 / $46,576.00	Facility		$319.00	$2,180.54	$46,576.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,810.77 / $2,414.36 / $3,480.71	Professional		$1,810.77	$2,414.36	$3,480.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,175.21 / $1,622.28 / $2,751.37	Professional		$1,175.21	$1,622.28	$2,751.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,940.15 / $74,999.25	Facility		$555.00	$1,940.15	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,697.30 / $2,767.32 / $6,204.43	Professional		$1,697.30	$2,767.32	$6,204.43
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 $1,713.28 / $2,206.62 / $5,145.83	Professional		$1,713.28	$2,206.62	$5,145.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,124.80 / $2,124.80 / $5,874.21	Facility		$2,124.80	$2,124.80	$5,874.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,175.21 / $2,425.07 / $4,245.45	Professional		$1,175.21	$2,425.07	$4,245.45