Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,973.67 / $4,491.51 / $10,296.00	Facility		$1,973.67	$4,491.51	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,168.46 / $2,606.44 / $4,911.13	Professional		$2,168.46	$2,606.44	$4,911.13
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 $1,686.91 / $2,205.12 / $4,709.26	Professional		$1,686.91	$2,205.12	$4,709.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,857.01 / $2,857.01 / $37,499.62	Facility		$2,857.01	$2,857.01	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,857.01 / $2,857.01 / $2,857.01	Professional		$2,857.01	$2,857.01	$2,857.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,311.04 / $2,311.04 / $7,227.90	Facility		$2,311.04	$2,311.04	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,030.35 / $3,179.98 / $7,388.53	Professional		$2,030.35	$3,179.98	$7,388.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,592.00 / $14,827.12	Facility		$332.00	$3,592.00	$14,827.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,155.94 / $2,874.60 / $4,144.22	Professional		$2,155.94	$2,874.60	$4,144.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,316.60 / $1,931.92 / $3,449.82	Professional		$1,316.60	$1,931.92	$3,449.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,311.04 / $74,999.25	Facility		$555.00	$2,311.04	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,069.12 / $3,294.77 / $7,388.53	Professional		$2,069.12	$3,294.77	$7,388.53
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 $1,947.38 / $2,609.16 / $6,539.56	Professional		$1,947.38	$2,609.16	$6,539.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,530.35 / $2,530.35 / $6,550.29	Facility		$2,530.35	$2,530.35	$6,550.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,316.60 / $2,530.35 / $5,055.75	Professional		$1,316.60	$2,530.35	$5,055.75