Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,871.63 / $4,043.00 / $10,296.00	Facility		$1,871.63	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.48 / $2,358.84 / $4,248.84	Professional		$1,889.48	$2,358.84	$4,248.84
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 $1,459.75 / $1,908.17 / $4,139.66	Professional		$1,459.75	$1,908.17	$4,139.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,479.71 / $2,479.71 / $37,499.62	Facility		$2,479.71	$2,479.71	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,479.71 / $2,479.71 / $2,479.71	Professional		$2,479.71	$2,479.71	$2,479.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,005.98 / $2,005.98 / $7,227.90	Facility		$2,005.98	$2,005.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,725.61 / $2,947.87 / $6,407.19	Professional		$1,725.61	$2,947.87	$6,407.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,252.00 / $14,969.22	Facility		$332.00	$3,252.00	$14,969.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.15 / $2,501.53 / $3,606.38	Professional		$1,876.15	$2,501.53	$3,606.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,196.41 / $1,681.95 / $2,853.57	Professional		$1,196.41	$1,681.95	$2,853.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,005.98 / $74,999.25	Facility		$555.00	$2,005.98	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,798.86 / $2,966.28 / $6,407.19	Professional		$1,798.86	$2,966.28	$6,407.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,764.00 / $2,299.32 / $5,245.23	Professional		$1,764.00	$2,299.32	$5,245.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,202.94 / $2,202.94 / $6,656.85	Facility		$2,202.94	$2,202.94	$6,656.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,196.41 / $2,515.15 / $4,401.60	Professional		$1,196.41	$2,515.15	$4,401.60