Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.00 / $5,228.00 / $11,396.00	Facility		$2,626.00	$5,228.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,086.32 / $3,908.90 / $7,050.08	Professional		$3,086.32	$3,908.90	$7,050.08
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 $2,500.50 / $3,268.63 / $6,874.57	Professional		$2,500.50	$3,268.63	$6,874.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,131.89 / $4,131.89 / $37,499.62	Facility		$4,131.89	$4,131.89	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,131.89 / $4,131.89 / $4,131.89	Professional		$4,131.89	$4,131.89	$4,131.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,309.40 / $3,309.40 / $7,227.90	Facility		$3,309.40	$3,309.40	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.78 / $4,681.60 / $10,676.81	Professional		$2,884.78	$4,681.60	$10,676.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,238.00 / $17,206.28	Facility		$332.00	$4,238.00	$17,206.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,073.32 / $4,097.76 / $5,907.60	Professional		$3,073.32	$4,097.76	$5,907.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,930.76 / $2,771.54 / $4,949.12	Professional		$1,930.76	$2,771.54	$4,949.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,309.40 / $74,999.25	Facility		$555.00	$3,309.40	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,871.11 / $4,681.60 / $10,676.81	Professional		$2,871.11	$4,681.60	$10,676.81
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 $2,632.02 / $3,853.72 / $8,853.29	Professional		$2,632.02	$3,853.72	$8,853.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,630.05 / $3,630.05 / $8,557.62	Facility		$3,630.05	$3,630.05	$8,557.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,930.76 / $4,149.02 / $7,252.99	Professional		$1,930.76	$4,149.02	$7,252.99