Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,061.57 / $4,396.32 / $10,296.00	Facility		$2,061.57	$4,396.32	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,061.57 / $2,555.38 / $4,795.88	Professional		$2,061.57	$2,555.38	$4,795.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,765.00 / $9,808.00 / $15,887.00	Facility		$4,765.00	$9,808.00	$15,887.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,646.74 / $2,152.61 / $4,659.58	Professional		$1,646.74	$2,152.61	$4,659.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,796.47 / $2,796.47 / $37,499.62	Facility		$2,796.47	$2,796.47	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,796.47 / $2,796.47 / $2,796.47	Professional		$2,796.47	$2,796.47	$2,796.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,262.56 / $2,262.56 / $7,227.90	Facility		$2,262.56	$2,262.56	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,954.75 / $3,216.12 / $7,218.39	Professional		$1,954.75	$3,216.12	$7,218.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,522.06 / $15,456.42	Facility		$332.00	$3,522.06	$15,456.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,113.23 / $2,817.65 / $4,062.11	Professional		$2,113.23	$2,817.65	$4,062.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,339.35 / $1,894.07 / $3,212.39	Professional		$1,339.35	$1,894.07	$3,212.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,262.56 / $74,999.25	Facility		$555.00	$2,262.56	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,031.32 / $3,218.08 / $7,218.39	Professional		$2,031.32	$3,218.08	$7,218.39
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 $1,928.02 / $2,567.63 / $5,858.65	Professional		$1,928.02	$2,567.63	$5,858.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,480.77 / $2,480.77 / $7,281.05	Facility		$2,480.77	$2,480.77	$7,281.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,339.35 / $2,831.41 / $4,956.70	Professional		$1,339.35	$2,831.41	$4,956.70