Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,874.79 / $4,910.00 / $11,396.00	Facility		$1,874.79	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,965.08 / $2,327.21 / $4,327.29	Professional		$1,965.08	$2,327.21	$4,327.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,608.00 / $14,193.00	Facility		$4,568.00	$7,608.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,447.30 / $1,891.90 / $4,274.26	Professional		$1,447.30	$1,891.90	$4,274.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,437.71 / $2,437.71 / $37,499.62	Facility		$2,437.71	$2,437.71	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,437.71 / $2,437.71 / $2,437.71	Professional		$2,437.71	$2,437.71	$2,437.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,993.37 / $1,993.37 / $7,227.90	Facility		$1,993.37	$1,993.37	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,772.75 / $3,065.53 / $6,469.53	Professional		$1,772.75	$3,065.53	$6,469.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,113.05 / $12,931.10	Facility		$332.00	$3,113.05	$12,931.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,847.10 / $2,462.80 / $3,550.53	Professional		$1,847.10	$2,462.80	$3,550.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,264.73 / $1,652.73 / $2,949.05	Professional		$1,264.73	$1,652.73	$2,949.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,993.37 / $74,999.25	Facility		$555.00	$1,993.37	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,821.65 / $2,959.14 / $6,450.99	Professional		$1,821.65	$2,959.14	$6,450.99
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 $1,781.40 / $2,342.63 / $5,349.22	Professional		$1,781.40	$2,342.63	$5,349.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,163.05 / $2,163.05 / $6,939.49	Facility		$2,163.05	$2,163.05	$6,939.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,264.73 / $2,466.73 / $4,321.85	Professional		$1,264.73	$2,466.73	$4,321.85