Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,078.80 / $4,648.00 / $10,686.00	Facility		$2,078.80	$4,648.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,078.80 / $2,610.62 / $5,280.47	Professional		$2,078.80	$2,610.62	$5,280.47
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 $1,621.56 / $2,119.69 / $4,624.93	Professional		$1,621.56	$2,119.69	$4,624.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,748.23 / $2,748.23 / $37,499.62	Facility		$2,748.23	$2,748.23	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,748.23 / $2,748.23 / $2,748.23	Professional		$2,748.23	$2,748.23	$2,748.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,222.06 / $2,222.06 / $7,227.90	Facility		$2,222.06	$2,222.06	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,960.17 / $3,178.26 / $7,118.81	Professional		$1,960.17	$3,178.26	$7,118.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,445.46 / $14,790.58	Facility		$332.00	$3,445.46	$14,790.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,067.27 / $2,756.36 / $3,973.76	Professional		$2,067.27	$2,756.36	$3,973.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,368.22 / $1,854.50 / $3,141.00	Professional		$1,368.22	$1,854.50	$3,141.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,222.06 / $74,999.25	Facility		$555.00	$2,222.06	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,999.39 / $3,178.26 / $7,118.81	Professional		$1,999.39	$3,178.26	$7,118.81
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 $1,791.42 / $2,511.96 / $6,296.78	Professional		$1,791.42	$2,511.96	$6,296.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,428.94 / $2,428.94 / $7,227.58	Facility		$2,428.94	$2,428.94	$7,227.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,368.22 / $2,768.49 / $4,853.16	Professional		$1,368.22	$2,768.49	$4,853.16