Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,824.91 / $4,910.00 / $11,396.00	Facility		$1,824.91	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,824.91 / $2,157.39 / $4,533.60	Professional		$1,824.91	$2,157.39	$4,533.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,342.06 / $1,754.33 / $4,058.34	Professional		$1,342.06	$1,754.33	$4,058.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,259.86 / $2,259.86 / $37,499.62	Facility		$2,259.86	$2,259.86	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,259.86 / $2,259.86 / $2,259.86	Professional		$2,259.86	$2,259.86	$2,259.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,847.95 / $1,847.95 / $7,227.90	Facility		$1,847.95	$1,847.95	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,680.64 / $2,874.16 / $5,982.23	Professional		$1,680.64	$2,874.16	$5,982.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,390.00 / $9,703.40	Facility		$332.00	$2,390.00	$9,703.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,713.45 / $2,284.60 / $3,293.63	Professional		$1,713.45	$2,284.60	$3,293.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,163.26 / $1,663.89 / $2,734.96	Professional		$1,163.26	$1,663.89	$2,734.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,847.95 / $74,999.25	Facility		$555.00	$1,847.95	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,680.64 / $2,836.71 / $5,982.23	Professional		$1,680.64	$2,836.71	$5,982.23
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 $1,651.64 / $2,172.42 / $6,078.97	Professional		$1,651.64	$2,172.42	$6,078.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,006.02 / $2,006.02 / $6,292.57	Facility		$2,006.02	$2,006.02	$6,292.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,163.26 / $2,288.25 / $4,008.12	Professional		$1,163.26	$2,288.25	$4,008.12