Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,396.92 / $4,648.00 / $10,296.00	Facility		$2,396.92	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,456.08 / $3,054.49 / $5,865.57	Professional		$2,456.08	$3,054.49	$5,865.57
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 $1,900.50 / $2,484.32 / $5,503.13	Professional		$1,900.50	$2,484.32	$5,503.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,221.24 / $3,221.24 / $37,499.62	Facility		$3,221.24	$3,221.24	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,221.24 / $3,221.24 / $3,221.24	Professional		$3,221.24	$3,221.24	$3,221.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,603.89 / $2,603.89 / $7,227.90	Facility		$2,603.89	$2,603.89	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,233.51 / $3,714.98 / $8,353.79	Professional		$2,233.51	$3,714.98	$8,353.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,924.00 / $16,199.40	Facility		$332.00	$3,924.00	$16,199.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,422.40 / $3,229.86 / $4,656.38	Professional		$2,422.40	$3,229.86	$4,656.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,493.52 / $2,171.86 / $3,878.28	Professional		$1,493.52	$2,171.86	$3,878.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,603.89 / $74,999.25	Facility		$555.00	$2,603.89	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,347.31 / $3,725.21 / $8,353.79	Professional		$2,347.31	$3,725.21	$8,353.79
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 $2,186.76 / $3,020.50 / $7,539.04	Professional		$2,186.76	$3,020.50	$7,539.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,844.61 / $2,844.61 / $7,585.08	Facility		$2,844.61	$2,844.61	$7,585.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,493.52 / $3,242.66 / $5,683.66	Professional		$1,493.52	$3,242.66	$5,683.66