Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,960.00 / $11,996.00	Facility		$1,819.00	$5,960.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.19 / $1,117.19 / $2,734.95	Professional		$1,117.19	$1,117.19	$2,734.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,357.87 / $3,313.19 / $5,567.10	Professional		$2,357.87	$3,313.19	$5,567.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,671.16 / $3,410.50 / $37,499.62	Facility		$2,671.16	$3,410.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,671.16 / $2,671.16 / $2,671.16	Professional		$2,671.16	$2,671.16	$2,671.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,369.92 / $2,369.92 / $7,227.90	Facility		$2,369.92	$2,369.92	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,015.94 / $3,391.37 / $6,967.14	Professional		$2,015.94	$3,391.37	$6,967.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,383.34 / $46,576.00	Facility		$319.00	$3,383.34	$46,576.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,342.31 / $3,513.47 / $5,647.58	Professional		$2,342.31	$3,513.47	$5,647.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,436.40 / $2,642.79 / $4,719.22	Professional		$1,436.40	$2,642.79	$4,719.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,369.92 / $74,999.25	Facility		$555.00	$2,369.92	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,206.73 / $2,428.91 / $6,337.58	Professional		$2,206.73	$2,428.91	$6,337.58
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 $1,902.40 / $2,978.32 / $5,807.44	Professional		$1,902.40	$2,978.32	$5,807.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,438.24 / $3,461.42 / $3,941.83	Facility		$3,438.24	$3,461.42	$3,941.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,436.40 / $3,461.42 / $5,459.80	Professional		$1,436.40	$3,461.42	$5,459.80