Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,364.40 / $4,648.00 / $10,296.00	Facility		$2,364.40	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,418.73 / $3,016.45 / $5,752.66	Professional		$2,418.73	$3,016.45	$5,752.66
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 $1,870.23 / $2,444.75 / $5,286.89	Professional		$1,870.23	$2,444.75	$5,286.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,174.95 / $3,174.95 / $37,499.62	Facility		$3,174.95	$3,174.95	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,174.95 / $3,174.95 / $3,174.95	Professional		$3,174.95	$3,174.95	$3,174.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,566.37 / $2,566.37 / $7,227.90	Facility		$2,566.37	$2,566.37	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,215.33 / $3,703.53 / $8,215.66	Professional		$2,215.33	$3,703.53	$8,215.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,984.65 / $18,168.50	Facility		$332.00	$3,984.65	$18,168.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,390.79 / $3,187.72 / $4,595.62	Professional		$2,390.79	$3,187.72	$4,595.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,542.85 / $2,143.98 / $3,632.52	Professional		$1,542.85	$2,143.98	$3,632.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,566.37 / $74,999.25	Facility		$555.00	$2,566.37	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,307.96 / $3,703.53 / $8,215.66	Professional		$2,307.96	$3,703.53	$8,215.66
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 $2,202.37 / $2,952.07 / $7,268.05	Professional		$2,202.37	$2,952.07	$7,268.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,808.11 / $2,808.11 / $8,372.89	Facility		$2,808.11	$2,808.11	$8,372.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,542.85 / $3,201.72 / $5,610.72	Professional		$1,542.85	$3,201.72	$5,610.72