Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,474.38 / $4,648.00 / $10,296.00	Facility		$2,474.38	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,723.08 / $3,461.26 / $6,235.26	Professional		$2,723.08	$3,461.26	$6,235.26
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 $2,211.63 / $2,891.03 / $6,080.08	Professional		$2,211.63	$2,891.03	$6,080.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,651.79 / $3,651.79 / $37,499.62	Facility		$3,651.79	$3,651.79	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,651.79 / $3,651.79 / $3,651.79	Professional		$3,651.79	$3,651.79	$3,651.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,927.99 / $2,927.99 / $7,227.90	Facility		$2,927.99	$2,927.99	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,551.57 / $4,138.06 / $9,417.87	Professional		$2,551.57	$4,138.06	$9,417.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,824.00 / $15,525.44	Facility		$332.00	$3,824.00	$15,525.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,718.18 / $3,624.24 / $5,224.95	Professional		$2,718.18	$3,624.24	$5,224.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,727.27 / $2,451.21 / $4,377.14	Professional		$1,727.27	$2,451.21	$4,377.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,927.99 / $74,999.25	Facility		$555.00	$2,927.99	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,641.12 / $4,199.72 / $9,417.87	Professional		$2,641.12	$4,199.72	$9,417.87
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 $2,467.35 / $3,520.99 / $8,505.87	Professional		$2,467.35	$3,520.99	$8,505.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,210.51 / $3,210.51 / $8,051.18	Facility		$3,210.51	$3,210.51	$8,051.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,727.27 / $3,669.15 / $6,414.74	Professional		$1,727.27	$3,669.15	$6,414.74