Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $5,700.00 / $10,296.00	Facility		$1,821.00	$5,700.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,978.68 / $5,284.82 / $9,335.19	Professional		$1,978.68	$5,284.82	$9,335.19
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 $3,390.22 / $4,368.22 / $9,520.85	Professional		$3,390.22	$4,368.22	$9,520.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,863.39 / $5,863.39 / $37,499.62	Facility		$5,863.39	$5,863.39	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,863.39 / $5,863.39 / $5,863.39	Professional		$5,863.39	$5,863.39	$5,863.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,688.54 / $4,688.54 / $7,227.90	Facility		$4,688.54	$4,688.54	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,465.25 / $6,274.94 / $14,868.54	Professional		$2,465.25	$6,274.94	$14,868.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,339.12 / $24,118.07	Facility		$332.00	$4,339.12	$24,118.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,367.46 / $5,823.28 / $8,395.21	Professional		$4,367.46	$5,823.28	$8,395.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,058.77 / $3,917.15 / $6,994.83	Professional		$1,058.77	$3,917.15	$6,994.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $4,688.54 / $74,999.25	Facility		$555.00	$4,688.54	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,410.92 / $5,875.54 / $14,338.33	Professional		$2,410.92	$5,875.54	$14,338.33
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 $3,741.99 / $5,295.04 / $13,147.71	Professional		$3,741.99	$5,295.04	$13,147.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,130.52 / $5,130.52 / $10,061.36	Facility		$5,130.52	$5,130.52	$10,061.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,058.77 / $5,130.52 / $8,505.96	Professional		$1,058.77	$5,130.52	$8,505.96