Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,851.87 / $4,043.00 / $10,296.00	Facility		$1,851.87	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,887.58 / $2,339.89 / $4,268.26	Professional		$1,887.58	$2,339.89	$4,268.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $4,960.00 / $11,448.00	Facility		$2,644.00	$4,960.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,466.53 / $1,917.04 / $4,152.92	Professional		$1,466.53	$1,917.04	$4,152.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,497.86 / $2,497.86 / $37,499.62	Facility		$2,497.86	$2,497.86	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,497.86 / $2,497.86 / $2,497.86	Professional		$2,497.86	$2,497.86	$2,497.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,020.61 / $2,020.61 / $7,227.90	Facility		$2,020.61	$2,020.61	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,710.81 / $2,843.71 / $6,434.01	Professional		$1,710.81	$2,843.71	$6,434.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,391.00 / $10,440.62	Facility		$332.00	$2,391.00	$10,440.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,100.73 / $2,729.35 / $3,634.26	Professional		$2,100.73	$2,729.35	$3,634.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,302.03 / $1,694.41 / $2,875.04	Professional		$1,302.03	$1,694.41	$2,875.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,020.61 / $74,999.25	Facility		$555.00	$2,020.61	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,691.68 / $2,867.58 / $6,434.01	Professional		$1,691.68	$2,867.58	$6,434.01
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 $1,701.91 / $2,289.82 / $5,529.72	Professional		$1,701.91	$2,289.82	$5,529.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,219.27 / $2,219.27 / $6,430.77	Facility		$2,219.27	$2,219.27	$6,430.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,302.03 / $2,219.27 / $4,434.18	Professional		$1,302.03	$2,219.27	$4,434.18