Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,010.85 / $4,910.00 / $11,396.00	Facility		$2,010.85	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,116.07 / $2,495.87 / $5,187.27	Professional		$2,116.07	$2,495.87	$5,187.27
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 $1,552.53 / $2,029.46 / $4,676.74	Professional		$1,552.53	$2,029.46	$4,676.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,613.69 / $2,613.69 / $37,499.62	Facility		$2,613.69	$2,613.69	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,613.69 / $2,613.69 / $2,613.69	Professional		$2,613.69	$2,613.69	$2,613.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,138.77 / $2,138.77 / $7,227.90	Facility		$2,138.77	$2,138.77	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,946.02 / $3,288.46 / $6,924.47	Professional		$1,946.02	$3,288.46	$6,924.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,810.00 / $11,408.60	Facility		$332.00	$2,810.00	$11,408.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,980.76 / $2,641.01 / $3,807.45	Professional		$1,980.76	$2,641.01	$3,807.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,349.24 / $1,921.31 / $3,001.14	Professional		$1,349.24	$1,921.31	$3,001.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,138.77 / $74,999.25	Facility		$555.00	$2,138.77	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,001.48 / $3,279.25 / $6,924.47	Professional		$2,001.48	$3,279.25	$6,924.47
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 $1,794.73 / $2,513.48 / $5,581.05	Professional		$1,794.73	$2,513.48	$5,581.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,320.17 / $2,320.17 / $7,320.48	Facility		$2,320.17	$2,320.17	$7,320.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,349.24 / $2,645.22 / $4,635.80	Professional		$1,349.24	$2,645.22	$4,635.80