Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,456.17 / $4,648.00 / $10,296.00	Facility		$2,456.17	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,514.07 / $3,133.43 / $5,997.40	Professional		$2,514.07	$3,133.43	$5,997.40
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 $1,946.89 / $2,544.96 / $5,615.86	Professional		$1,946.89	$2,544.96	$5,615.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,298.51 / $3,298.51 / $37,499.62	Facility		$3,298.51	$3,298.51	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,298.51 / $3,298.51 / $3,298.51	Professional		$3,298.51	$3,298.51	$3,298.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,667.77 / $2,667.77 / $7,227.90	Facility		$2,667.77	$2,667.77	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,289.35 / $3,920.74 / $8,545.14	Professional		$2,289.35	$3,920.74	$8,545.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,141.14 / $19,691.00	Facility		$332.00	$4,141.14	$19,691.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,484.67 / $3,312.91 / $4,776.10	Professional		$2,484.67	$3,312.91	$4,776.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,559.58 / $2,235.92 / $3,976.83	Professional		$1,559.58	$2,235.92	$3,976.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,667.77 / $74,999.25	Facility		$555.00	$2,667.77	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,399.28 / $3,863.58 / $8,545.14	Professional		$2,399.28	$3,863.58	$8,545.14
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 $2,390.21 / $3,035.85 / $7,085.70	Professional		$2,390.21	$3,035.85	$7,085.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,916.90 / $2,916.90 / $8,886.12	Facility		$2,916.90	$2,916.90	$8,886.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,559.58 / $3,326.69 / $5,828.09	Professional		$1,559.58	$3,326.69	$5,828.09