Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,087.03 / $4,910.00 / $10,686.00	Facility		$2,087.03	$4,910.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,479.25 / $3,482.35 / $6,523.97	Professional		$2,479.25	$3,482.35	$6,523.97
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 $2,249.88 / $2,941.02 / $6,282.44	Professional		$2,249.88	$2,941.02	$6,282.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,801.60 / $3,801.60 / $37,499.62	Facility		$3,801.60	$3,801.60	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,801.60 / $3,801.60 / $3,801.60	Professional		$3,801.60	$3,801.60	$3,801.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,088.27 / $3,088.27 / $7,227.90	Facility		$3,088.27	$3,088.27	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,640.79 / $4,146.24 / $9,876.89	Professional		$2,640.79	$4,146.24	$9,876.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,806.00 / $15,834.32	Facility		$332.00	$3,806.00	$15,834.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,867.38 / $3,587.89 / $5,511.75	Professional		$2,867.38	$3,587.89	$5,511.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,328.43 / $2,581.15 / $4,609.14	Professional		$1,328.43	$2,581.15	$4,609.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,088.27 / $74,999.25	Facility		$555.00	$3,088.27	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,749.78 / $4,198.62 / $9,305.85	Professional		$2,749.78	$4,198.62	$9,305.85
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 $2,574.73 / $3,485.38 / $8,261.56	Professional		$2,574.73	$3,485.38	$8,261.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,380.68 / $3,380.68 / $7,093.11	Facility		$3,380.68	$3,380.68	$7,093.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,328.43 / $3,380.68 / $6,162.14	Professional		$1,328.43	$3,380.68	$6,162.14