Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,043.00 / $10,296.00	Facility		$1,819.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,751.89 / $2,187.62 / $3,937.56	Professional		$1,751.89	$2,187.62	$3,937.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,352.52 / $1,768.01 / $3,862.48	Professional		$1,352.52	$1,768.01	$3,862.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,298.96 / $2,298.96 / $37,499.62	Facility		$2,298.96	$2,298.96	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,298.96 / $2,298.96 / $2,298.96	Professional		$2,298.96	$2,298.96	$2,298.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,860.74 / $1,860.74 / $7,227.90	Facility		$1,860.74	$1,860.74	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,635.21 / $2,739.59 / $5,948.60	Professional		$1,635.21	$2,739.59	$5,948.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,099.01 / $46,576.00	Facility		$319.00	$2,099.01	$46,576.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,740.60 / $2,320.80 / $3,345.82	Professional		$1,740.60	$2,320.80	$3,345.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.79 / $1,561.46 / $2,788.29	Professional		$1,124.79	$1,561.46	$2,788.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,860.74 / $74,999.25	Facility		$555.00	$1,860.74	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,666.95 / $2,837.39 / $5,948.60	Professional		$1,666.95	$2,837.39	$5,948.60
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 $1,614.78 / $2,183.29 / $4,911.49	Professional		$1,614.78	$2,183.29	$4,911.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,045.13 / $2,045.13 / $6,177.46	Facility		$2,045.13	$2,045.13	$6,177.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,124.79 / $2,334.40 / $4,086.27	Professional		$1,124.79	$2,334.40	$4,086.27