Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $4,648.00 / $10,296.00	Facility		$2,303.00	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,195.96 / $2,760.65 / $4,023.31	Professional		$2,195.96	$2,760.65	$4,023.31
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 $1,790.73 / $2,340.83 / $5,182.22	Professional		$1,790.73	$2,340.83	$5,182.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,034.26 / $3,034.26 / $37,499.62	Facility		$3,034.26	$3,034.26	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,034.26 / $3,034.26 / $3,034.26	Professional		$3,034.26	$3,034.26	$3,034.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,453.00 / $2,453.00 / $7,227.90	Facility		$2,453.00	$2,453.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,105.71 / $3,499.10 / $7,867.19	Professional		$2,105.71	$3,499.10	$7,867.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,752.00 / $15,488.90	Facility		$332.00	$3,752.00	$15,488.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,282.76 / $3,043.68 / $4,387.97	Professional		$2,282.76	$3,043.68	$4,387.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.42 / $2,046.21 / $3,466.57	Professional		$1,440.42	$2,046.21	$3,466.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,453.00 / $74,999.25	Facility		$555.00	$2,453.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,210.42 / $3,508.22 / $7,867.19	Professional		$2,210.42	$3,508.22	$7,867.19
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 $2,060.52 / $2,852.20 / $6,557.43	Professional		$2,060.52	$2,852.20	$6,557.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,680.05 / $2,680.05 / $7,172.28	Facility		$2,680.05	$2,680.05	$7,172.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,440.42 / $3,055.45 / $5,354.85	Professional		$1,440.42	$3,055.45	$5,354.85