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 $1,121.31 / $1,121.31 / $2,853.68	Professional		$1,121.31	$1,121.31	$2,853.68
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 $2,750.77 / $3,955.36 / $6,766.84	Professional		$2,750.77	$3,955.36	$6,766.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,921.04 / $3,410.50 / $37,499.62	Facility		$2,921.04	$3,410.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,921.04 / $2,921.04 / $2,921.04	Professional		$2,921.04	$2,921.04	$2,921.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,661.04 / $2,661.04 / $7,227.90	Facility		$2,661.04	$2,661.04	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,103.48 / $3,621.09 / $7,467.81	Professional		$2,103.48	$3,621.09	$7,467.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,968.35 / $46,576.00	Facility		$319.00	$4,968.35	$46,576.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,439.63 / $5,159.43 / $8,293.33	Professional		$3,439.63	$5,159.43	$8,293.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,655.44 / $3,880.88 / $6,930.06	Professional		$1,655.44	$3,880.88	$6,930.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,661.04 / $74,999.25	Facility		$555.00	$2,661.04	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $807.16 / $2,173.79 / $6,942.62	Professional		$807.16	$2,173.79	$6,942.62
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 $2,182.41 / $4,203.99 / $8,404.53	Professional		$2,182.41	$4,203.99	$8,404.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,361.53 / $5,083.01 / $5,083.01	Facility		$4,361.53	$5,083.01	$5,083.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,655.44 / $5,083.01 / $8,017.59	Professional		$1,655.44	$5,083.01	$8,017.59