Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.25 / $4,043.00 / $10,296.00	Facility		$1,773.25	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,644.50 / $2,053.33 / $3,694.00	Professional		$1,644.50	$2,053.33	$3,694.00
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 $1,269.63 / $1,659.66 / $3,622.10	Professional		$1,269.63	$1,659.66	$3,622.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,158.21 / $2,158.21 / $37,499.62	Facility		$2,158.21	$2,158.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,158.21 / $2,158.21 / $2,158.21	Professional		$2,158.21	$2,158.21	$2,158.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.52 / $1,745.52 / $7,227.90	Facility		$1,745.52	$1,745.52	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,520.52 / $2,589.46 / $5,578.39	Professional		$1,520.52	$2,589.46	$5,578.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,904.00 / $13,418.30	Facility		$332.00	$2,904.00	$13,418.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,635.04 / $2,225.96 / $3,142.91	Professional		$1,635.04	$2,225.96	$3,142.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.26 / $1,464.52 / $2,615.19	Professional		$1,044.26	$1,464.52	$2,615.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,745.52 / $74,999.25	Facility		$555.00	$1,745.52	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,565.22 / $2,816.45 / $5,578.39	Professional		$1,565.22	$2,816.45	$5,578.39
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 $1,530.03 / $2,049.92 / $4,605.68	Professional		$1,530.03	$2,049.92	$4,605.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,918.17 / $1,918.17 / $5,836.00	Facility		$1,918.17	$1,918.17	$5,836.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,044.26 / $2,191.23 / $3,832.59	Professional		$1,044.26	$2,191.23	$3,832.59