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 $974.76 / $974.76 / $2,364.69	Professional		$974.76	$974.76	$2,364.69
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 $1,323.48 / $1,831.67 / $3,063.99	Professional		$1,323.48	$1,831.67	$3,063.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,369.36 / $3,410.50 / $37,499.62	Facility		$2,369.36	$3,410.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,369.36 / $2,369.36 / $2,369.36	Professional		$2,369.36	$2,369.36	$2,369.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,068.40 / $2,068.40 / $7,227.90	Facility		$2,068.40	$2,068.40	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,743.01 / $2,910.63 / $5,979.93	Professional		$1,743.01	$2,910.63	$5,979.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,490.15 / $46,576.00	Facility		$319.00	$3,490.15	$46,576.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,416.26 / $3,624.39 / $5,825.86	Professional		$2,416.26	$3,624.39	$5,825.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,428.44 / $2,726.22 / $4,868.20	Professional		$1,428.44	$2,726.22	$4,868.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,068.40 / $74,999.25	Facility		$555.00	$2,068.40	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $807.16 / $1,801.29 / $5,804.51	Professional		$807.16	$1,801.29	$5,804.51
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 $1,859.44 / $2,948.68 / $6,656.50	Professional		$1,859.44	$2,948.68	$6,656.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,570.69 / $3,570.69 / $4,134.10	Facility		$3,570.69	$3,570.69	$4,134.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,428.44 / $3,570.69 / $5,632.16	Professional		$1,428.44	$3,570.69	$5,632.16