Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,083.21 / $4,386.51 / $10,296.00	Facility		$2,083.21	$4,386.51	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,097.31 / $2,600.42 / $4,914.87	Professional		$2,097.31	$2,600.42	$4,914.87
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 $1,609.39 / $2,103.79 / $4,702.78	Professional		$1,609.39	$2,103.79	$4,702.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,732.61 / $2,732.61 / $37,499.62	Facility		$2,732.61	$2,732.61	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,732.61 / $2,732.61 / $2,732.61	Professional		$2,732.61	$2,732.61	$2,732.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.79 / $2,211.79 / $7,227.90	Facility		$2,211.79	$2,211.79	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,895.39 / $3,269.84 / $7,065.44	Professional		$1,895.39	$3,269.84	$7,065.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,534.00 / $16,325.26	Facility		$332.00	$3,534.00	$16,325.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,068.48 / $2,757.98 / $3,976.09	Professional		$2,068.48	$2,757.98	$3,976.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,293.55 / $1,854.46 / $3,145.98	Professional		$1,293.55	$1,854.46	$3,145.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,211.79 / $74,999.25	Facility		$555.00	$2,211.79	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,983.83 / $3,197.07 / $7,065.44	Professional		$1,983.83	$3,197.07	$7,065.44
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 $1,891.31 / $2,560.36 / $6,054.86	Professional		$1,891.31	$2,560.36	$6,054.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,428.90 / $2,428.90 / $7,479.71	Facility		$2,428.90	$2,428.90	$7,479.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,293.55 / $2,772.88 / $4,853.05	Professional		$1,293.55	$2,772.88	$4,853.05