Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.48 / $4,212.54 / $10,296.00	Facility		$1,969.48	$4,212.54	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,000.38 / $2,487.39 / $4,766.32	Professional		$2,000.38	$2,487.39	$4,766.32
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 $1,549.42 / $2,025.39 / $4,412.28	Professional		$1,549.42	$2,025.39	$4,412.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,624.23 / $2,624.23 / $37,499.62	Facility		$2,624.23	$2,624.23	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,624.23 / $2,624.23 / $2,624.23	Professional		$2,624.23	$2,624.23	$2,624.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,121.41 / $2,121.41 / $7,227.90	Facility		$2,121.41	$2,121.41	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,835.53 / $3,024.46 / $6,796.27	Professional		$1,835.53	$3,024.46	$6,796.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,292.61 / $13,933.92	Facility		$332.00	$3,292.61	$13,933.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,975.56 / $2,634.08 / $3,797.47	Professional		$1,975.56	$2,634.08	$3,797.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,232.22 / $1,771.71 / $3,001.74	Professional		$1,232.22	$1,771.71	$3,001.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,121.41 / $74,999.25	Facility		$555.00	$2,121.41	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,908.92 / $3,030.66 / $6,796.27	Professional		$1,908.92	$3,030.66	$6,796.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,871.97 / $2,441.26 / $6,012.43	Professional		$1,871.97	$2,441.26	$6,012.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,320.50 / $2,320.50 / $6,247.01	Facility		$2,320.50	$2,320.50	$6,247.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,232.22 / $2,645.75 / $4,636.47	Professional		$1,232.22	$2,645.75	$4,636.47