Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $5,228.00 / $11,396.00	Facility		$2,559.00	$5,228.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,680.25 / $3,369.47 / $6,009.70	Professional		$2,680.25	$3,369.47	$6,009.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,088.62 / $2,730.23 / $6,238.22	Professional		$2,088.62	$2,730.23	$6,238.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,548.50 / $3,548.50 / $18,749.82	Facility		$3,548.50	$3,548.50	$18,749.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,548.50 / $3,548.50 / $3,548.50	Professional		$3,548.50	$3,548.50	$3,548.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,871.58 / $2,871.58 / $7,227.90	Facility		$2,871.58	$2,871.58	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,498.02 / $4,122.14 / $9,111.31	Professional		$2,498.02	$4,122.14	$9,111.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,246.36 / $14,709.66	Facility		$332.00	$3,246.36	$14,709.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,663.72 / $3,551.63 / $5,120.26	Professional		$2,663.72	$3,551.63	$5,120.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,939.62 / $2,457.21 / $4,265.04	Professional		$1,939.62	$2,457.21	$4,265.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,871.58 / $74,999.25	Facility		$555.00	$2,871.58	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,346.32 / $3,905.45 / $8,560.67	Professional		$2,346.32	$3,905.45	$8,560.67
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 $2,551.01 / $3,438.66 / $7,664.75	Professional		$2,551.01	$3,438.66	$7,664.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,128.29 / $3,128.29 / $4,001.24	Facility		$3,128.29	$3,128.29	$4,001.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,939.62 / $3,128.29 / $4,934.34	Professional		$1,939.62	$3,128.29	$4,934.34