Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,997.23 / $4,278.47 / $10,296.00	Facility		$1,997.23	$4,278.47	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,997.23 / $2,432.64 / $3,683.42	Professional		$1,997.23	$2,432.64	$3,683.42
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 $1,573.19 / $2,056.46 / $4,472.33	Professional		$1,573.19	$2,056.46	$4,472.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,665.31 / $2,665.31 / $37,499.62	Facility		$2,665.31	$2,665.31	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,665.31 / $2,665.31 / $2,665.31	Professional		$2,665.31	$2,665.31	$2,665.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,156.28 / $2,156.28 / $7,227.90	Facility		$2,156.28	$2,156.28	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,863.96 / $3,030.08 / $6,894.82	Professional		$1,863.96	$3,030.08	$6,894.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,353.30 / $14,360.22	Facility		$332.00	$3,353.30	$14,360.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,011.98 / $2,682.64 / $3,867.47	Professional		$2,011.98	$2,682.64	$3,867.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,270.73 / $1,803.09 / $3,057.39	Professional		$1,270.73	$1,803.09	$3,057.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,156.28 / $74,999.25	Facility		$555.00	$2,156.28	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,937.16 / $3,096.27 / $6,894.82	Professional		$1,937.16	$3,096.27	$6,894.82
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 $1,817.30 / $2,434.86 / $5,717.25	Professional		$1,817.30	$2,434.86	$5,717.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,361.62 / $2,361.62 / $6,331.43	Facility		$2,361.62	$2,361.62	$6,331.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,270.73 / $2,694.79 / $4,718.60	Professional		$1,270.73	$2,694.79	$4,718.60