Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,015.91 / $4,910.00 / $11,396.00	Facility		$2,015.91	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,105.50 / $2,502.12 / $4,537.03	Professional		$2,105.50	$2,502.12	$4,537.03
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 $1,556.49 / $2,034.64 / $4,495.81	Professional		$1,556.49	$2,034.64	$4,495.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,619.79 / $2,619.79 / $37,499.62	Facility		$2,619.79	$2,619.79	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,619.79 / $2,619.79 / $2,619.79	Professional		$2,619.79	$2,619.79	$2,619.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,143.44 / $2,143.44 / $7,227.90	Facility		$2,143.44	$2,143.44	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,906.34 / $3,262.53 / $6,950.61	Professional		$1,906.34	$3,262.53	$6,950.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,479.90 / $14,453.60	Facility		$332.00	$3,479.90	$14,453.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,986.67 / $2,648.89 / $3,818.82	Professional		$1,986.67	$2,648.89	$3,818.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,369.54 / $1,776.73 / $3,008.92	Professional		$1,369.54	$1,776.73	$3,008.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,143.44 / $74,999.25	Facility		$555.00	$2,143.44	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,958.85 / $3,182.34 / $6,941.84	Professional		$1,958.85	$3,182.34	$6,941.84
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 $1,799.78 / $2,445.50 / $5,756.23	Professional		$1,799.78	$2,445.50	$5,756.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,325.21 / $2,325.21 / $7,487.43	Facility		$2,325.21	$2,325.21	$7,487.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,369.54 / $2,652.07 / $4,645.89	Professional		$1,369.54	$2,652.07	$4,645.89