Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,043.00 / $10,296.00	Facility		$1,819.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,667.06 / $2,203.38 / $4,241.10	Professional		$1,667.06	$2,203.38	$4,241.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,608.00 / $14,193.00	Facility		$4,568.00	$7,608.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,422.40 / $1,859.35 / $4,020.98	Professional		$1,422.40	$1,859.35	$4,020.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,412.60 / $2,412.60 / $37,499.62	Facility		$2,412.60	$2,412.60	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,412.60 / $2,412.60 / $2,412.60	Professional		$2,412.60	$2,412.60	$2,412.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,951.54 / $1,951.54 / $7,227.90	Facility		$1,951.54	$1,951.54	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,677.01 / $2,669.67 / $6,233.30	Professional		$1,677.01	$2,669.67	$6,233.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,937.00 / $12,127.22	Facility		$332.00	$2,937.00	$12,127.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,822.43 / $2,429.90 / $3,503.11	Professional		$1,822.43	$2,429.90	$3,503.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,058.38 / $1,633.16 / $2,916.34	Professional		$1,058.38	$1,633.16	$2,916.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,951.54 / $74,999.25	Facility		$555.00	$1,951.54	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,745.30 / $2,779.62 / $6,233.30	Professional		$1,745.30	$2,779.62	$6,233.30
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 $1,618.52 / $2,216.06 / $5,518.64	Professional		$1,618.52	$2,216.06	$5,518.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,139.05 / $2,139.05 / $5,493.53	Facility		$2,139.05	$2,139.05	$5,493.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,058.38 / $2,441.39 / $4,273.92	Professional		$1,058.38	$2,441.39	$4,273.92