Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,300.02 / $5,162.89 / $11,396.00	Facility		$2,300.02	$5,162.89	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,451.50 / $3,051.62 / $5,532.23	Professional		$2,451.50	$3,051.62	$5,532.23
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 $1,897.95 / $2,480.98 / $5,255.28	Professional		$1,897.95	$2,480.98	$5,255.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,216.27 / $3,216.27 / $37,499.62	Facility		$3,216.27	$3,216.27	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,216.27 / $3,216.27 / $3,216.27	Professional		$3,216.27	$3,216.27	$3,216.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,572.06 / $2,572.06 / $7,227.90	Facility		$2,572.06	$2,572.06	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,241.30 / $4,094.36 / $8,118.24	Professional		$2,241.30	$4,094.36	$8,118.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,429.14 / $5,935.05	Facility		$319.00	$3,429.14	$5,935.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,637.80 / $3,429.45 / $4,563.39	Professional		$2,637.80	$3,429.45	$4,563.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,645.19 / $2,142.21 / $3,825.36	Professional		$1,645.19	$2,142.21	$3,825.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,572.06 / $74,999.25	Facility		$555.00	$2,572.06	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,341.64 / $4,288.21 / $7,906.77	Professional		$2,341.64	$4,288.21	$7,906.77
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 $2,263.30 / $3,108.07 / $7,184.05	Professional		$2,263.30	$3,108.07	$7,184.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,805.79 / $2,805.79 / $5,533.63	Facility		$2,805.79	$2,805.79	$5,533.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,645.19 / $3,201.95 / $5,380.38	Professional		$1,645.19	$3,201.95	$5,380.38