Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,913.05 / $4,392.00 / $10,686.00	Facility		$1,913.05	$4,392.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,734.30 / $2,298.12 / $4,740.96	Professional		$1,734.30	$2,298.12	$4,740.96
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 $1,478.14 / $1,932.21 / $4,208.70	Professional		$1,478.14	$1,932.21	$4,208.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,510.73 / $2,510.73 / $37,499.62	Facility		$2,510.73	$2,510.73	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,510.73 / $2,510.73 / $2,510.73	Professional		$2,510.73	$2,510.73	$2,510.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,031.30 / $2,031.30 / $7,227.90	Facility		$2,031.30	$2,031.30	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.41 / $3,014.01 / $6,482.64	Professional		$1,770.41	$3,014.01	$6,482.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,278.00 / $15,147.86	Facility		$332.00	$3,278.00	$15,147.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.94 / $2,534.59 / $3,654.04	Professional		$1,900.94	$2,534.59	$3,654.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,232.26 / $1,703.39 / $3,041.74	Professional		$1,232.26	$1,703.39	$3,041.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,031.30 / $74,999.25	Facility		$555.00	$2,031.30	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,820.96 / $3,292.35 / $6,482.64	Professional		$1,820.96	$3,292.35	$6,482.64
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 $1,744.01 / $2,256.32 / $5,367.01	Professional		$1,744.01	$2,256.32	$5,367.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,231.03 / $2,231.03 / $6,796.22	Facility		$2,231.03	$2,231.03	$6,796.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,232.26 / $2,547.92 / $4,457.68	Professional		$1,232.26	$2,547.92	$4,457.68