Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,864.53 / $4,648.00 / $10,686.00	Facility		$1,864.53	$4,648.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,864.53 / $2,459.44 / $4,375.63	Professional		$1,864.53	$2,459.44	$4,375.63
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 $1,608.55 / $2,102.67 / $4,531.85	Professional		$1,608.55	$2,102.67	$4,531.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,725.82 / $2,725.82 / $37,499.62	Facility		$2,725.82	$2,725.82	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,725.82 / $2,725.82 / $2,725.82	Professional		$2,725.82	$2,725.82	$2,725.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,203.40 / $2,203.40 / $7,227.90	Facility		$2,203.40	$2,203.40	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.28 / $3,140.86 / $7,054.85	Professional		$1,905.28	$3,140.86	$7,054.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,420.69 / $14,827.12	Facility		$332.00	$3,420.69	$14,827.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,052.41 / $2,736.55 / $3,945.20	Professional		$2,052.41	$2,736.55	$3,945.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,311.63 / $1,839.88 / $3,118.07	Professional		$1,311.63	$1,839.88	$3,118.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,203.40 / $74,999.25	Facility		$555.00	$2,203.40	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,982.07 / $3,145.98 / $7,054.85	Professional		$1,982.07	$3,145.98	$7,054.85
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 $1,901.29 / $2,602.08 / $7,043.49	Professional		$1,901.29	$2,602.08	$7,043.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,409.79 / $2,409.79 / $6,707.88	Facility		$2,409.79	$2,409.79	$6,707.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,311.63 / $2,748.28 / $4,814.87	Professional		$1,311.63	$2,748.28	$4,814.87