Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.07 / $4,601.09 / $10,296.00	Facility		$2,231.07	$4,601.09	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,258.94 / $2,781.96 / $5,309.54	Professional		$2,258.94	$2,781.96	$5,309.54
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 $1,718.87 / $2,246.89 / $4,896.10	Professional		$1,718.87	$2,246.89	$4,896.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,926.73 / $2,926.73 / $37,499.62	Facility		$2,926.73	$2,926.73	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,926.73 / $2,926.73 / $2,926.73	Professional		$2,926.73	$2,926.73	$2,926.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,368.28 / $2,368.28 / $7,227.90	Facility		$2,368.28	$2,368.28	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,047.45 / $3,578.63 / $7,579.10	Professional		$2,047.45	$3,578.63	$7,579.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,876.65 / $17,336.20	Facility		$332.00	$3,876.65	$17,336.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,208.54 / $2,944.72 / $4,245.30	Professional		$2,208.54	$2,944.72	$4,245.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,498.05 / $1,979.45 / $3,534.69	Professional		$1,498.05	$1,979.45	$3,534.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,368.28 / $74,999.25	Facility		$555.00	$2,368.28	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,155.75 / $3,588.54 / $7,579.10	Professional		$2,155.75	$3,588.54	$7,579.10
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 $2,078.01 / $2,772.62 / $7,237.74	Professional		$2,078.01	$2,772.62	$7,237.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,592.60 / $2,592.60 / $7,125.20	Facility		$2,592.60	$2,592.60	$7,125.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,498.05 / $2,957.77 / $5,180.12	Professional		$1,498.05	$2,957.77	$5,180.12