Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,071.38 / $4,392.00 / $10,296.00	Facility		$2,071.38	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,071.38 / $2,583.15 / $4,670.76	Professional		$2,071.38	$2,583.15	$4,670.76
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 $1,604.31 / $2,097.14 / $4,713.00	Professional		$1,604.31	$2,097.14	$4,713.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,716.87 / $2,716.87 / $37,499.62	Facility		$2,716.87	$2,716.87	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,716.87 / $2,716.87 / $2,716.87	Professional		$2,716.87	$2,716.87	$2,716.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,198.23 / $2,198.23 / $7,227.90	Facility		$2,198.23	$2,198.23	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,922.51 / $3,220.81 / $7,030.27	Professional		$1,922.51	$3,220.81	$7,030.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,495.00 / $16,170.98	Facility		$332.00	$3,495.00	$16,170.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,050.19 / $2,733.59 / $3,940.92	Professional		$2,050.19	$2,733.59	$3,940.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,295.63 / $1,838.05 / $3,282.20	Professional		$1,295.63	$1,838.05	$3,282.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,198.23 / $74,999.25	Facility		$555.00	$2,198.23	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,975.30 / $3,207.90 / $7,030.27	Professional		$1,975.30	$3,207.90	$7,030.27
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 $1,903.55 / $2,499.62 / $6,713.63	Professional		$1,903.55	$2,499.62	$6,713.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,407.40 / $2,407.40 / $7,282.60	Facility		$2,407.40	$2,407.40	$7,282.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,295.63 / $2,746.51 / $4,810.10	Professional		$1,295.63	$2,746.51	$4,810.10