Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,125.29 / $4,392.00 / $10,296.00	Facility		$2,125.29	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,126.21 / $2,651.43 / $4,795.63	Professional		$2,126.21	$2,651.43	$4,795.63
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 $1,646.46 / $2,152.23 / $4,648.08	Professional		$1,646.46	$2,152.23	$4,648.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,789.73 / $2,789.73 / $37,499.62	Facility		$2,789.73	$2,789.73	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,789.73 / $2,789.73 / $2,789.73	Professional		$2,789.73	$2,789.73	$2,789.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,257.48 / $2,257.48 / $7,227.90	Facility		$2,257.48	$2,257.48	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,974.06 / $3,342.70 / $7,216.48	Professional		$1,974.06	$3,342.70	$7,216.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,679.00 / $16,974.86	Facility		$332.00	$3,679.00	$16,974.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,104.88 / $2,806.51 / $4,046.05	Professional		$2,104.88	$2,806.51	$4,046.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,391.92 / $1,887.27 / $3,370.09	Professional		$1,391.92	$1,887.27	$3,370.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,257.48 / $74,999.25	Facility		$555.00	$2,257.48	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,033.07 / $3,550.11 / $7,216.48	Professional		$2,033.07	$3,550.11	$7,216.48
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 $1,988.88 / $2,684.61 / $5,983.97	Professional		$1,988.88	$2,684.61	$5,983.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,471.87 / $2,471.87 / $7,551.30	Facility		$2,471.87	$2,471.87	$7,551.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,391.92 / $2,819.48 / $4,938.89	Professional		$1,391.92	$2,819.48	$4,938.89