Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,442.46 / $4,648.00 / $10,296.00	Facility		$2,442.46	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,496.87 / $3,114.11 / $5,161.41	Professional		$2,496.87	$3,114.11	$5,161.41
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 $1,929.64 / $2,522.41 / $5,497.77	Professional		$1,929.64	$2,522.41	$5,497.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,275.27 / $3,275.27 / $37,499.62	Facility		$3,275.27	$3,275.27	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,275.27 / $3,275.27 / $3,275.27	Professional		$3,275.27	$3,275.27	$3,275.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,650.90 / $2,650.90 / $7,227.90	Facility		$2,650.90	$2,650.90	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,285.96 / $3,799.58 / $8,466.35	Professional		$2,285.96	$3,799.58	$8,466.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,120.04 / $18,655.70	Facility		$332.00	$4,120.04	$18,655.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,472.02 / $3,296.03 / $4,754.00	Professional		$2,472.02	$3,296.03	$4,754.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,589.85 / $2,216.94 / $3,958.81	Professional		$1,589.85	$2,216.94	$3,958.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,650.90 / $74,999.25	Facility		$555.00	$2,650.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,380.55 / $3,775.40 / $8,466.35	Professional		$2,380.55	$3,775.40	$8,466.35
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 $2,333.44 / $3,153.33 / $7,276.40	Professional		$2,333.44	$3,153.33	$7,276.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,903.68 / $2,903.68 / $8,588.40	Facility		$2,903.68	$2,903.68	$8,588.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,589.85 / $3,311.61 / $5,801.68	Professional		$1,589.85	$3,311.61	$5,801.68