Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,931.85 / $4,126.80 / $10,296.00	Facility		$1,931.85	$4,126.80	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,773.44 / $2,314.90 / $4,853.75	Professional		$1,773.44	$2,314.90	$4,853.75
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 $1,510.10 / $1,973.99 / $4,316.58	Professional		$1,510.10	$1,973.99	$4,316.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,570.81 / $2,570.81 / $37,499.62	Facility		$2,570.81	$2,570.81	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,570.81 / $2,570.81 / $2,570.81	Professional		$2,570.81	$2,570.81	$2,570.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,079.61 / $2,079.61 / $7,227.90	Facility		$2,079.61	$2,079.61	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.90 / $3,009.42 / $6,630.67	Professional		$1,811.90	$3,009.42	$6,630.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,244.95 / $14,270.90	Facility		$332.00	$3,244.95	$14,270.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,946.97 / $2,595.96 / $3,742.51	Professional		$1,946.97	$2,595.96	$3,742.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,243.49 / $1,745.40 / $3,116.75	Professional		$1,243.49	$1,745.40	$3,116.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,079.61 / $74,999.25	Facility		$555.00	$2,079.61	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,864.33 / $3,009.42 / $6,630.67	Professional		$1,864.33	$3,009.42	$6,630.67
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 $1,823.12 / $2,426.54 / $5,512.37	Professional		$1,823.12	$2,426.54	$5,512.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,286.05 / $2,286.05 / $6,775.35	Facility		$2,286.05	$2,286.05	$6,775.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,243.49 / $2,610.63 / $4,567.63	Professional		$1,243.49	$2,610.63	$4,567.63