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 $1,091.79 / $1,091.79 / $2,666.06	Professional		$1,091.79	$1,091.79	$2,666.06
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 $2,249.02 / $3,233.89 / $5,532.55	Professional		$2,249.02	$3,233.89	$5,532.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,735.72 / $3,410.50 / $37,499.62	Facility		$2,735.72	$3,410.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,735.72 / $2,735.72 / $2,735.72	Professional		$2,735.72	$2,735.72	$2,735.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,478.71 / $2,478.71 / $7,227.90	Facility		$2,478.71	$2,478.71	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,965.20 / $3,379.91 / $6,956.21	Professional		$1,965.20	$3,379.91	$6,956.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,475.14 / $46,576.00	Facility		$319.00	$4,475.14	$46,576.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,098.18 / $4,647.27 / $7,470.05	Professional		$3,098.18	$4,647.27	$7,470.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,598.69 / $3,495.63 / $6,242.12	Professional		$1,598.69	$3,495.63	$6,242.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,478.71 / $74,999.25	Facility		$555.00	$2,478.71	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $807.16 / $2,030.88 / $6,515.44	Professional		$807.16	$2,030.88	$6,515.44
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 $1,895.43 / $3,786.66 / $7,917.57	Professional		$1,895.43	$3,786.66	$7,917.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,142.85 / $4,578.42 / $4,749.60	Facility		$4,142.85	$4,578.42	$4,749.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,598.69 / $4,578.42 / $7,221.68	Professional		$1,598.69	$4,578.42	$7,221.68