Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,912.44 / $4,043.00 / $10,296.00	Facility		$1,912.44	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,917.54 / $2,387.85 / $4,300.07	Professional		$1,917.54	$2,387.85	$4,300.07
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 $1,477.29 / $1,931.10 / $4,213.84	Professional		$1,477.29	$1,931.10	$4,213.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,509.85 / $2,509.85 / $37,499.62	Facility		$2,509.85	$2,509.85	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,509.85 / $2,509.85 / $2,509.85	Professional		$2,509.85	$2,509.85	$2,509.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,030.86 / $2,030.86 / $7,227.90	Facility		$2,030.86	$2,030.86	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,785.61 / $3,048.34 / $6,489.74	Professional		$1,785.61	$3,048.34	$6,489.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,206.00 / $14,810.88	Facility		$332.00	$3,206.00	$14,810.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,901.05 / $2,534.73 / $3,654.24	Professional		$1,901.05	$2,534.73	$3,654.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,228.43 / $1,703.75 / $3,042.37	Professional		$1,228.43	$1,703.75	$3,042.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,030.86 / $74,999.25	Facility		$555.00	$2,030.86	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,819.79 / $3,040.14 / $6,489.74	Professional		$1,819.79	$3,040.14	$6,489.74
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 $1,784.88 / $2,384.46 / $5,120.20	Professional		$1,784.88	$2,384.46	$5,120.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,231.50 / $2,231.50 / $6,861.11	Facility		$2,231.50	$2,231.50	$6,861.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,228.43 / $2,231.50 / $4,458.63	Professional		$1,228.43	$2,231.50	$4,458.63