Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,877.77 / $4,043.00 / $10,296.00	Facility		$1,877.77	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,886.90 / $2,355.67 / $4,243.00	Professional		$1,886.90	$2,355.67	$4,243.00
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 $1,457.48 / $1,905.21 / $4,215.17	Professional		$1,457.48	$1,905.21	$4,215.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,475.54 / $2,475.54 / $37,499.62	Facility		$2,475.54	$2,475.54	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,475.54 / $2,475.54 / $2,475.54	Professional		$2,475.54	$2,475.54	$2,475.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,003.20 / $2,003.20 / $7,227.90	Facility		$2,003.20	$2,003.20	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.62 / $2,943.22 / $6,388.90	Professional		$1,761.62	$2,943.22	$6,388.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,304.00 / $15,265.60	Facility		$332.00	$3,304.00	$15,265.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,875.05 / $2,500.07 / $3,604.26	Professional		$1,875.05	$2,500.07	$3,604.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.14 / $1,680.03 / $2,851.15	Professional		$1,219.14	$1,680.03	$2,851.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,003.20 / $74,999.25	Facility		$555.00	$2,003.20	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,796.09 / $3,247.21 / $6,388.90	Professional		$1,796.09	$3,247.21	$6,388.90
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 $1,760.38 / $2,297.98 / $5,317.01	Professional		$1,760.38	$2,297.98	$5,317.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,200.42 / $2,200.42 / $6,643.51	Facility		$2,200.42	$2,200.42	$6,643.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,219.14 / $2,513.01 / $4,396.55	Professional		$1,219.14	$2,513.01	$4,396.55