Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $5,228.00 / $10,296.00	Facility		$2,559.00	$5,228.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,345.75 / $4,244.50 / $7,733.59	Professional		$3,345.75	$4,244.50	$7,733.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,608.00 / $14,193.00	Facility		$4,568.00	$7,608.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,651.59 / $3,466.14 / $7,494.08	Professional		$2,651.59	$3,466.14	$7,494.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,494.22 / $4,494.22 / $16,534.50	Facility		$4,494.22	$4,494.22	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,494.22 / $4,494.22 / $4,494.22	Professional		$4,494.22	$4,494.22	$4,494.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,634.40 / $3,634.40 / $7,227.90	Facility		$3,634.40	$3,634.40	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,206.61 / $5,433.22 / $11,675.97	Professional		$3,206.61	$5,433.22	$11,675.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $5,868.45 / $25,448.08	Facility		$332.00	$5,868.45	$25,448.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,383.14 / $4,510.85 / $6,503.14	Professional		$3,383.14	$4,510.85	$6,503.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,246.78 / $3,032.76 / $5,415.59	Professional		$2,246.78	$3,032.76	$5,415.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,634.40 / $74,999.25	Facility		$555.00	$3,634.40	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,310.44 / $5,206.68 / $11,486.35	Professional		$3,310.44	$5,206.68	$11,486.35
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 $3,161.45 / $4,146.22 / $10,535.07	Professional		$3,161.45	$4,146.22	$10,535.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,972.18 / $3,972.18 / $7,877.23	Facility		$3,972.18	$3,972.18	$7,877.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,246.78 / $4,530.21 / $7,848.34	Professional		$2,246.78	$4,530.21	$7,848.34