Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,367.19 / $4,648.00 / $10,296.00	Facility		$2,367.19	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,367.19 / $2,972.59 / $5,892.51	Professional		$2,367.19	$2,972.59	$5,892.51
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 $1,911.25 / $2,498.37 / $5,409.16	Professional		$1,911.25	$2,498.37	$5,409.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,239.32 / $3,239.32 / $37,499.62	Facility		$3,239.32	$3,239.32	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,239.32 / $3,239.32 / $3,239.32	Professional		$3,239.32	$3,239.32	$3,239.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,618.35 / $2,618.35 / $7,227.90	Facility		$2,618.35	$2,618.35	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,213.53 / $3,734.22 / $8,394.73	Professional		$2,213.53	$3,734.22	$8,394.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,832.00 / $15,789.34	Facility		$332.00	$3,832.00	$15,789.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,436.98 / $3,249.31 / $4,684.42	Professional		$2,436.98	$3,249.31	$4,684.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,462.71 / $2,189.37 / $3,901.83	Professional		$1,462.71	$2,189.37	$3,901.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,618.35 / $74,999.25	Facility		$555.00	$2,618.35	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,355.52 / $3,743.47 / $8,394.73	Professional		$2,355.52	$3,743.47	$8,394.73
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 $2,200.34 / $3,133.59 / $6,960.99	Professional		$2,200.34	$3,133.59	$6,960.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,861.88 / $2,861.88 / $7,523.53	Facility		$2,861.88	$2,861.88	$7,523.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,462.71 / $3,262.78 / $5,718.17	Professional		$1,462.71	$3,262.78	$5,718.17