Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,970.83 / $4,149.84 / $10,296.00	Facility		$1,970.83	$4,149.84	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,994.67 / $2,459.81 / $4,651.75	Professional		$1,994.67	$2,459.81	$4,651.75
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 $1,522.26 / $1,989.89 / $4,449.35	Professional		$1,522.26	$1,989.89	$4,449.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,585.17 / $2,585.17 / $37,499.62	Facility		$2,585.17	$2,585.17	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,585.17 / $2,585.17 / $2,585.17	Professional		$2,585.17	$2,585.17	$2,585.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.08 / $2,091.08 / $7,227.90	Facility		$2,091.08	$2,091.08	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,813.28 / $3,151.49 / $6,676.53	Professional		$1,813.28	$3,151.49	$6,676.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,312.00 / $15,302.14	Facility		$332.00	$3,312.00	$15,302.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,955.76 / $2,607.67 / $3,759.41	Professional		$1,955.76	$2,607.67	$3,759.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,238.15 / $1,752.79 / $3,129.96	Professional		$1,238.15	$1,752.79	$3,129.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,091.08 / $74,999.25	Facility		$555.00	$2,091.08	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,877.46 / $3,008.76 / $6,676.53	Professional		$1,877.46	$3,008.76	$6,676.53
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 $1,825.13 / $2,347.73 / $5,525.77	Professional		$1,825.13	$2,347.73	$5,525.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,295.73 / $2,295.73 / $7,097.85	Facility		$2,295.73	$2,295.73	$7,097.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,238.15 / $2,621.55 / $4,586.99	Professional		$1,238.15	$2,621.55	$4,586.99