Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,043.00 / $10,296.00	Facility		$1,819.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,826.32 / $2,280.34 / $4,105.87	Professional		$1,826.32	$2,280.34	$4,105.87
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 $1,411.08 / $1,844.56 / $4,018.14	Professional		$1,411.08	$1,844.56	$4,018.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,397.21 / $2,397.21 / $37,499.62	Facility		$2,397.21	$2,397.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,397.21 / $2,397.21 / $2,397.21	Professional		$2,397.21	$2,397.21	$2,397.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,940.03 / $1,940.03 / $7,227.90	Facility		$1,940.03	$1,940.03	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,688.70 / $2,799.24 / $6,171.60	Professional		$1,688.70	$2,799.24	$6,171.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,023.48 / $13,653.78	Facility		$332.00	$3,023.48	$13,653.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,814.09 / $2,418.78 / $3,487.07	Professional		$1,814.09	$2,418.78	$3,487.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,155.68 / $1,627.38 / $2,760.05	Professional		$1,155.68	$1,627.38	$2,760.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,940.03 / $74,999.25	Facility		$555.00	$1,940.03	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,737.72 / $2,862.35 / $6,171.60	Professional		$1,737.72	$2,862.35	$6,171.60
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 $1,691.33 / $2,254.05 / $5,303.44	Professional		$1,691.33	$2,254.05	$5,303.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,131.46 / $2,131.46 / $6,329.05	Facility		$2,131.46	$2,131.46	$6,329.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,155.68 / $2,432.71 / $4,258.76	Professional		$1,155.68	$2,432.71	$4,258.76