Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,148.30 / $4,431.43 / $10,296.00	Facility		$2,148.30	$4,431.43	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,173.52 / $2,678.90 / $5,110.31	Professional		$2,173.52	$2,678.90	$5,110.31
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 $1,663.99 / $2,175.16 / $4,874.70	Professional		$1,663.99	$2,175.16	$4,874.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,818.80 / $2,818.80 / $37,499.62	Facility		$2,818.80	$2,818.80	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,818.80 / $2,818.80 / $2,818.80	Professional		$2,818.80	$2,818.80	$2,818.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.50 / $2,280.50 / $7,227.90	Facility		$2,280.50	$2,280.50	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,048.92 / $3,443.46 / $7,289.18	Professional		$2,048.92	$3,443.46	$7,289.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,729.45 / $16,678.48	Facility		$332.00	$3,729.45	$16,678.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,126.42 / $2,835.23 / $4,087.45	Professional		$2,126.42	$2,835.23	$4,087.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,441.30 / $1,906.44 / $3,231.25	Professional		$1,441.30	$1,906.44	$3,231.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,280.50 / $74,999.25	Facility		$555.00	$2,280.50	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,075.94 / $3,452.58 / $7,289.18	Professional		$2,075.94	$3,452.58	$7,289.18
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 $2,011.62 / $2,590.34 / $6,044.24	Professional		$2,011.62	$2,590.34	$6,044.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,496.96 / $2,496.96 / $6,855.15	Facility		$2,496.96	$2,496.96	$6,855.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,441.30 / $2,496.96 / $4,989.06	Professional		$1,441.30	$2,496.96	$4,989.06