Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,948.23 / $4,103.75 / $10,296.00	Facility		$1,948.23	$4,103.75	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,948.23 / $2,431.96 / $4,210.93	Professional		$1,948.23	$2,431.96	$4,210.93
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 $1,505.29 / $1,967.71 / $4,290.39	Professional		$1,505.29	$1,967.71	$4,290.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,556.46 / $2,556.46 / $37,499.62	Facility		$2,556.46	$2,556.46	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,556.46 / $2,556.46 / $2,556.46	Professional		$2,556.46	$2,556.46	$2,556.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,068.61 / $2,068.61 / $7,227.90	Facility		$2,068.61	$2,068.61	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,802.62 / $3,085.77 / $6,607.65	Professional		$1,802.62	$3,085.77	$6,607.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,401.00 / $15,716.26	Facility		$332.00	$3,401.00	$15,716.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,934.21 / $2,578.94 / $3,717.98	Professional		$1,934.21	$2,578.94	$3,717.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,241.76 / $1,734.42 / $3,097.14	Professional		$1,241.76	$1,734.42	$3,097.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,068.61 / $74,999.25	Facility		$555.00	$2,068.61	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,855.00 / $3,335.77 / $6,607.65	Professional		$1,855.00	$3,335.77	$6,607.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,515.00	Facility		$1,479.00	$4,114.00	$8,515.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,818.48 / $2,382.55 / $5,662.19	Professional		$1,818.48	$2,382.55	$5,662.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,271.67 / $2,271.67 / $6,956.62	Facility		$2,271.67	$2,271.67	$6,956.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,241.76 / $2,592.94 / $4,538.89	Professional		$1,241.76	$2,592.94	$4,538.89