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 $1,772.94 / $2,196.11 / $3,985.18	Professional		$1,772.94	$2,196.11	$3,985.18
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 $1,369.21 / $1,789.83 / $3,855.47	Professional		$1,369.21	$1,789.83	$3,855.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,326.23 / $2,326.23 / $37,499.62	Facility		$2,326.23	$2,326.23	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,326.23 / $2,326.23 / $2,326.23	Professional		$2,326.23	$2,326.23	$2,326.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,883.08 / $1,883.08 / $7,227.90	Facility		$1,883.08	$1,883.08	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,622.97 / $2,706.65 / $5,991.09	Professional		$1,622.97	$2,706.65	$5,991.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,955.00 / $13,548.22	Facility		$332.00	$2,955.00	$13,548.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,762.34 / $2,349.79 / $3,387.62	Professional		$1,762.34	$2,349.79	$3,387.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,103.22 / $1,579.99 / $2,821.37	Professional		$1,103.22	$1,579.99	$2,821.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,883.08 / $74,999.25	Facility		$555.00	$1,883.08	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,687.07 / $2,706.65 / $5,991.09	Professional		$1,687.07	$2,706.65	$5,991.09
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 $1,653.31 / $2,133.56 / $4,967.85	Professional		$1,653.31	$2,133.56	$4,967.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,069.40 / $2,069.40 / $6,121.72	Facility		$2,069.40	$2,069.40	$6,121.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,103.22 / $2,362.85 / $4,134.75	Professional		$1,103.22	$2,362.85	$4,134.75