Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $4,648.00 / $10,296.00	Facility		$1,821.00	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,744.61 / $3,313.56 / $5,724.60	Professional		$1,744.61	$3,313.56	$5,724.60
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 $2,157.92 / $2,820.83 / $5,987.26	Professional		$2,157.92	$2,820.83	$5,987.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,651.83 / $3,651.83 / $37,499.62	Facility		$3,651.83	$3,651.83	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,651.83 / $3,651.83 / $3,651.83	Professional		$3,651.83	$3,651.83	$3,651.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,933.93 / $2,933.93 / $7,227.90	Facility		$2,933.93	$2,933.93	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,391.17 / $3,896.18 / $9,349.89	Professional		$2,391.17	$3,896.18	$9,349.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,025.76 / $15,038.03	Facility		$332.00	$3,025.76	$15,038.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,723.18 / $3,630.91 / $5,234.56	Professional		$2,723.18	$3,630.91	$5,234.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,097.90 / $2,456.04 / $4,385.74	Professional		$1,097.90	$2,456.04	$4,385.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,933.93 / $74,999.25	Facility		$555.00	$2,933.93	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,302.15 / $3,867.00 / $8,920.10	Professional		$2,302.15	$3,867.00	$8,920.10
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 $2,359.84 / $3,408.65 / $8,506.02	Professional		$2,359.84	$3,408.65	$8,506.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,216.82 / $3,216.82 / $6,338.43	Facility		$3,216.82	$3,216.82	$6,338.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,097.90 / $3,216.82 / $5,333.22	Professional		$1,097.90	$3,216.82	$5,333.22