Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,157.40 / $4,451.50 / $10,296.00	Facility		$2,157.40	$4,451.50	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,166.44 / $2,690.29 / $4,867.81	Professional		$2,166.44	$2,690.29	$4,867.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,608.00 / $14,193.00	Facility		$4,568.00	$7,608.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,662.59 / $2,173.33 / $4,857.62	Professional		$1,662.59	$2,173.33	$4,857.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,831.57 / $2,831.57 / $37,499.62	Facility		$2,831.57	$2,831.57	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,831.57 / $2,831.57 / $2,831.57	Professional		$2,831.57	$2,831.57	$2,831.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.79 / $2,289.79 / $7,227.90	Facility		$2,289.79	$2,289.79	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,020.91 / $3,315.30 / $7,321.73	Professional		$2,020.91	$3,315.30	$7,321.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,558.51 / $15,054.48	Facility		$332.00	$3,558.51	$15,054.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,135.11 / $2,846.81 / $4,104.14	Professional		$2,135.11	$2,846.81	$4,104.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,355.73 / $1,914.21 / $3,418.19	Professional		$1,355.73	$1,914.21	$3,418.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,289.79 / $74,999.25	Facility		$555.00	$2,289.79	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,057.23 / $3,264.98 / $7,321.73	Professional		$2,057.23	$3,264.98	$7,321.73
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 $1,978.33 / $2,625.87 / $6,102.77	Professional		$1,978.33	$2,625.87	$6,102.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,507.15 / $2,507.15 / $6,284.50	Facility		$2,507.15	$2,507.15	$6,284.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,355.73 / $2,860.09 / $5,009.39	Professional		$1,355.73	$2,860.09	$5,009.39