Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $5,351.48 / $10,686.00	Facility		$2,559.00	$5,351.48	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,555.51 / $4,606.50 / $8,356.61	Professional		$3,555.51	$4,606.50	$8,356.61
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 $2,864.05 / $3,743.86 / $8,095.18	Professional		$2,864.05	$3,743.86	$8,095.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,856.29 / $4,856.29 / $16,534.50	Facility		$4,856.29	$4,856.29	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,856.29 / $4,856.29 / $4,856.29	Professional		$4,856.29	$4,856.29	$4,856.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,928.44 / $3,928.44 / $7,227.90	Facility		$3,928.44	$3,928.44	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,389.89 / $5,871.66 / $12,634.13	Professional		$3,389.89	$5,871.66	$12,634.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $6,343.40 / $27,502.44	Facility		$332.00	$6,343.40	$27,502.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,656.25 / $4,875.00 / $7,028.13	Professional		$3,656.25	$4,875.00	$7,028.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,428.30 / $3,277.14 / $5,851.97	Professional		$2,428.30	$3,277.14	$5,851.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,928.44 / $74,999.25	Facility		$555.00	$3,928.44	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,576.18 / $5,605.82 / $12,438.49	Professional		$3,576.18	$5,605.82	$12,438.49
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 $3,472.39 / $4,645.50 / $12,300.35	Professional		$3,472.39	$4,645.50	$12,300.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,292.26 / $4,292.26 / $8,785.07	Facility		$4,292.26	$4,292.26	$8,785.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,428.30 / $4,894.55 / $8,482.52	Professional		$2,428.30	$4,894.55	$8,482.52