Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,746.88 / $4,043.00 / $10,296.00	Facility		$1,746.88	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.13 / $2,023.65 / $3,638.63	Professional		$1,620.13	$2,023.65	$3,638.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.97 / $1,635.26 / $3,573.56	Professional		$1,250.97	$1,635.26	$3,573.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,126.71 / $2,126.71 / $37,499.62	Facility		$2,126.71	$2,126.71	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,126.71 / $2,126.71 / $2,126.71	Professional		$2,126.71	$2,126.71	$2,126.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,720.62 / $1,720.62 / $7,227.90	Facility		$1,720.62	$1,720.62	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.63 / $2,558.04 / $5,503.63	Professional		$1,506.63	$2,558.04	$5,503.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,765.00 / $12,675.32	Facility		$332.00	$2,765.00	$12,675.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,612.29 / $2,149.71 / $3,099.17	Professional		$1,612.29	$2,149.71	$3,099.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,032.00 / $1,444.97 / $2,452.73	Professional		$1,032.00	$1,444.97	$2,452.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,720.62 / $74,999.25	Facility		$555.00	$1,720.62	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,540.82 / $2,792.88 / $5,503.63	Professional		$1,540.82	$2,792.88	$5,503.63
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 $1,457.89 / $1,935.07 / $4,456.76	Professional		$1,457.89	$1,935.07	$4,456.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,892.57 / $1,892.57 / $5,752.25	Facility		$1,892.57	$1,892.57	$5,752.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,032.00 / $2,161.84 / $3,781.43	Professional		$1,032.00	$2,161.84	$3,781.43