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 $983.78 / $983.78 / $2,518.29	Professional		$983.78	$983.78	$2,518.29
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 $1,754.62 / $2,512.44 / $4,298.28	Professional		$1,754.62	$2,512.44	$4,298.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,595.23 / $3,410.50 / $37,499.62	Facility		$2,595.23	$3,410.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,595.23 / $2,595.23 / $2,595.23	Professional		$2,595.23	$2,595.23	$2,595.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,327.11 / $2,327.11 / $7,227.90	Facility		$2,327.11	$2,327.11	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,856.41 / $3,185.08 / $6,541.06	Professional		$1,856.41	$3,185.08	$6,541.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,981.95 / $46,576.00	Facility		$319.00	$3,981.95	$46,576.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,756.74 / $4,135.10 / $6,646.80	Professional		$2,756.74	$4,135.10	$6,646.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,541.94 / $3,110.38 / $5,554.19	Professional		$1,541.94	$3,110.38	$5,554.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,327.11 / $74,999.25	Facility		$555.00	$2,327.11	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $807.16 / $1,918.41 / $6,206.48	Professional		$807.16	$1,918.41	$6,206.48
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 $1,953.45 / $3,378.53 / $6,735.93	Professional		$1,953.45	$3,378.53	$6,735.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,924.21 / $4,073.85 / $4,498.93	Facility		$3,924.21	$4,073.85	$4,498.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,541.94 / $4,073.85 / $6,425.80	Professional		$1,541.94	$4,073.85	$6,425.80