Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,954.41 / $4,910.00 / $11,396.00	Facility		$1,954.41	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,075.08 / $2,582.98 / $4,674.68	Professional		$2,075.08	$2,582.98	$4,674.68
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 $1,615.06 / $2,111.19 / $4,478.85	Professional		$1,615.06	$2,111.19	$4,478.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,717.76 / $2,717.76 / $37,499.62	Facility		$2,717.76	$2,717.76	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,717.76 / $2,717.76 / $2,717.76	Professional		$2,717.76	$2,717.76	$2,717.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,185.63 / $2,185.63 / $7,227.90	Facility		$2,185.63	$2,185.63	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,945.83 / $3,482.52 / $6,897.85	Professional		$1,945.83	$3,482.52	$6,897.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,915.50 / $5,046.05	Facility		$319.00	$2,915.50	$5,046.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,242.69 / $2,915.69 / $3,879.85	Professional		$2,242.69	$2,915.69	$3,879.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,398.60 / $1,820.40 / $3,250.69	Professional		$1,398.60	$1,820.40	$3,250.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,185.63 / $74,999.25	Facility		$555.00	$2,185.63	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,980.65 / $3,618.41 / $6,735.49	Professional		$1,980.65	$3,618.41	$6,735.49
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 $1,952.26 / $2,605.91 / $5,857.74	Professional		$1,952.26	$2,605.91	$5,857.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,384.29 / $2,384.29 / $4,695.88	Facility		$2,384.29	$2,384.29	$4,695.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,398.60 / $2,722.02 / $4,583.02	Professional		$1,398.60	$2,722.02	$4,583.02