Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,047.67 / $4,910.00 / $11,396.00	Facility		$2,047.67	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,880.15 / $2,278.07 / $3,997.09	Professional		$1,880.15	$2,278.07	$3,997.09
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 $1,587.90 / $2,075.69 / $4,648.35	Professional		$1,587.90	$2,075.69	$4,648.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,661.60 / $2,661.60 / $37,499.62	Facility		$2,661.60	$2,661.60	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,661.60 / $2,661.60 / $2,661.60	Professional		$2,661.60	$2,661.60	$2,661.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,177.08 / $2,177.08 / $7,227.90	Facility		$2,177.08	$2,177.08	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,906.34 / $3,114.16 / $7,046.79	Professional		$1,906.34	$3,114.16	$7,046.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,323.00 / $13,690.32	Facility		$332.00	$3,323.00	$13,690.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,026.49 / $2,701.99 / $3,895.37	Professional		$2,026.49	$2,701.99	$3,895.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,322.80 / $1,806.11 / $3,225.15	Professional		$1,322.80	$1,806.11	$3,225.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,177.08 / $74,999.25	Facility		$555.00	$2,177.08	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,976.32 / $3,142.38 / $7,046.79	Professional		$1,976.32	$3,142.38	$7,046.79
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 $1,770.76 / $2,469.81 / $5,694.99	Professional		$1,770.76	$2,469.81	$5,694.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,365.56 / $2,365.56 / $7,108.43	Facility		$2,365.56	$2,365.56	$7,108.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,322.80 / $2,706.56 / $4,726.49	Professional		$1,322.80	$2,706.56	$4,726.49