Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,082.27 / $4,392.00 / $10,296.00	Facility		$2,082.27	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,092.78 / $2,609.80 / $4,720.81	Professional		$2,092.78	$2,609.80	$4,720.81
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 $1,218.58 / $1,592.94 / $4,596.45	Professional		$1,218.58	$1,592.94	$4,596.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,746.31 / $2,746.31 / $37,499.62	Facility		$2,746.31	$2,746.31	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,746.31 / $2,746.31 / $2,746.31	Professional		$2,746.31	$2,746.31	$2,746.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,221.27 / $2,221.27 / $7,227.90	Facility		$2,221.27	$2,221.27	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,959.71 / $3,342.01 / $7,102.96	Professional		$1,959.71	$3,342.01	$7,102.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,621.35 / $16,122.26	Facility		$332.00	$3,621.35	$16,122.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,071.17 / $2,761.56 / $3,981.25	Professional		$2,071.17	$2,761.56	$3,981.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,397.29 / $1,857.22 / $3,316.43	Professional		$1,397.29	$1,857.22	$3,316.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,221.27 / $74,999.25	Facility		$555.00	$2,221.27	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,995.74 / $3,342.35 / $7,102.96	Professional		$1,995.74	$3,342.35	$7,102.96
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 $1,989.63 / $2,602.48 / $5,889.82	Professional		$1,989.63	$2,602.48	$5,889.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,432.51 / $2,432.51 / $6,656.67	Facility		$2,432.51	$2,432.51	$6,656.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,397.29 / $2,432.51 / $4,860.26	Professional		$1,397.29	$2,432.51	$4,860.26