Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,113.00 / $4,392.00 / $10,296.00	Facility		$2,113.00	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,122.84 / $2,634.44 / $4,774.39	Professional		$2,122.84	$2,634.44	$4,774.39
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 $1,639.67 / $2,143.36 / $4,654.88	Professional		$1,639.67	$2,143.36	$4,654.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,784.47 / $2,784.47 / $37,499.62	Facility		$2,784.47	$2,784.47	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,784.47 / $2,784.47 / $2,784.47	Professional		$2,784.47	$2,784.47	$2,784.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,252.83 / $2,252.83 / $7,227.90	Facility		$2,252.83	$2,252.83	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,942.87 / $3,202.93 / $7,188.48	Professional		$1,942.87	$3,202.93	$7,188.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,507.66 / $15,764.98	Facility		$332.00	$3,507.66	$15,764.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,104.60 / $2,806.13 / $4,045.50	Professional		$2,104.60	$2,806.13	$4,045.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,314.90 / $1,886.46 / $3,368.63	Professional		$1,314.90	$1,886.46	$3,368.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,252.83 / $74,999.25	Facility		$555.00	$2,252.83	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,022.93 / $3,418.73 / $7,188.48	Professional		$2,022.93	$3,418.73	$7,188.48
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 $1,901.71 / $2,560.17 / $6,497.29	Professional		$1,901.71	$2,560.17	$6,497.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,470.80 / $2,470.80 / $7,047.47	Facility		$2,470.80	$2,470.80	$7,047.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,314.90 / $2,819.96 / $4,936.77	Professional		$1,314.90	$2,819.96	$4,936.77