Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $5,324.00 / $10,296.00	Facility		$2,559.00	$5,324.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,642.25 / $4,538.52 / $7,146.15	Professional		$3,642.25	$4,538.52	$7,146.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,817.93 / $3,683.58 / $8,255.26	Professional		$2,817.93	$3,683.58	$8,255.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,778.00 / $4,778.00 / $37,499.62	Facility		$4,778.00	$4,778.00	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,778.00 / $4,778.00 / $4,778.00	Professional		$4,778.00	$4,778.00	$4,778.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,864.94 / $3,864.94 / $7,227.90	Facility		$3,864.94	$3,864.94	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,351.62 / $5,911.59 / $12,426.84	Professional		$3,351.62	$5,911.59	$12,426.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $5,224.00 / $21,420.56	Facility		$332.00	$5,224.00	$21,420.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,598.17 / $4,797.56 / $6,916.49	Professional		$3,598.17	$4,797.56	$6,916.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,900.82 / $3,224.33 / $5,757.67	Professional		$1,900.82	$3,224.33	$5,757.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,864.94 / $74,999.25	Facility		$555.00	$3,864.94	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,518.83 / $5,541.52 / $12,426.84	Professional		$3,518.83	$5,541.52	$12,426.84
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 $3,402.94 / $4,400.72 / $10,357.96	Professional		$3,402.94	$4,400.72	$10,357.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,223.09 / $4,223.09 / $9,119.62	Facility		$4,223.09	$4,223.09	$9,119.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,900.82 / $4,816.71 / $8,437.93	Professional		$1,900.82	$4,816.71	$8,437.93