Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,911.35 / $4,053.96 / $10,296.00	Facility		$1,911.35	$4,053.96	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,746.28 / $2,303.23 / $3,490.59	Professional		$1,746.28	$2,303.23	$3,490.59
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 $1,486.62 / $1,943.30 / $4,285.81	Professional		$1,486.62	$1,943.30	$4,285.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,525.44 / $2,525.44 / $37,499.62	Facility		$2,525.44	$2,525.44	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,525.44 / $2,525.44 / $2,525.44	Professional		$2,525.44	$2,525.44	$2,525.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,040.04 / $2,040.04 / $7,227.90	Facility		$2,040.04	$2,040.04	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.49 / $3,027.71 / $6,523.04	Professional		$1,761.49	$3,027.71	$6,523.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,241.00 / $14,888.02	Facility		$332.00	$3,241.00	$14,888.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.26 / $2,540.35 / $3,662.34	Professional		$1,905.26	$2,540.35	$3,662.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.67 / $1,707.18 / $2,895.43	Professional		$1,191.67	$1,707.18	$2,895.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,040.04 / $74,999.25	Facility		$555.00	$2,040.04	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,834.34 / $3,051.77 / $6,523.04	Professional		$1,834.34	$3,051.77	$6,523.04
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 $1,766.21 / $2,388.26 / $5,437.05	Professional		$1,766.21	$2,388.26	$5,437.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $2,236.00 / $6,847.95	Facility		$2,236.00	$2,236.00	$6,847.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,191.67 / $2,552.04 / $4,467.62	Professional		$1,191.67	$2,552.04	$4,467.62