Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,823.17 / $4,043.00 / $10,296.00	Facility		$1,823.17	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,866.89 / $2,273.61 / $4,112.26	Professional		$1,866.89	$2,273.61	$4,112.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,404.58 / $1,836.06 / $4,002.64	Professional		$1,404.58	$1,836.06	$4,002.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,392.06 / $2,392.06 / $37,499.62	Facility		$2,392.06	$2,392.06	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,392.06 / $2,392.06 / $2,392.06	Professional		$2,392.06	$2,392.06	$2,392.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,934.36 / $1,934.36 / $7,227.90	Facility		$1,934.36	$1,934.36	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,706.82 / $2,953.73 / $6,187.32	Professional		$1,706.82	$2,953.73	$6,187.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,013.00 / $13,402.06	Facility		$332.00	$3,013.00	$13,402.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,005.51 / $2,604.78 / $3,469.53	Professional		$2,005.51	$2,604.78	$3,469.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,242.13 / $1,617.45 / $2,742.78	Professional		$1,242.13	$1,617.45	$2,742.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,934.36 / $74,999.25	Facility		$555.00	$1,934.36	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,706.82 / $2,759.11 / $6,187.32	Professional		$1,706.82	$2,759.11	$6,187.32
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 $1,705.35 / $2,212.08 / $5,130.57	Professional		$1,705.35	$2,212.08	$5,130.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,118.46 / $2,118.46 / $5,977.98	Facility		$2,118.46	$2,118.46	$5,977.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,242.13 / $2,417.48 / $4,232.79	Professional		$1,242.13	$2,417.48	$4,232.79