Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,181.73 / $4,499.10 / $10,296.00	Facility		$2,181.73	$4,499.10	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,019.83 / $2,611.84 / $3,963.83	Professional		$2,019.83	$2,611.84	$3,963.83
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 $1,690.03 / $2,209.19 / $4,782.10	Professional		$1,690.03	$2,209.19	$4,782.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,861.85 / $2,861.85 / $37,499.62	Facility		$2,861.85	$2,861.85	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,861.85 / $2,861.85 / $2,861.85	Professional		$2,861.85	$2,861.85	$2,861.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,316.00 / $2,316.00 / $7,227.90	Facility		$2,316.00	$2,316.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,046.90 / $3,321.69 / $7,407.40	Professional		$2,046.90	$3,321.69	$7,407.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,724.00 / $17,165.68	Facility		$332.00	$3,724.00	$17,165.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,160.14 / $2,880.18 / $4,152.26	Professional		$2,160.14	$2,880.18	$4,152.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,416.89 / $1,935.92 / $3,456.96	Professional		$1,416.89	$1,935.92	$3,456.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,316.00 / $74,999.25	Facility		$555.00	$2,316.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,080.65 / $3,503.01 / $7,407.40	Professional		$2,080.65	$3,503.01	$7,407.40
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 $2,040.99 / $2,655.40 / $6,396.63	Professional		$2,040.99	$2,655.40	$6,396.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,535.58 / $2,535.58 / $7,541.33	Facility		$2,535.58	$2,535.58	$7,541.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,416.89 / $2,892.81 / $5,066.21	Professional		$1,416.89	$2,892.81	$5,066.21