Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,807.79 / $4,043.00 / $10,296.00	Facility		$1,807.79	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,664.04 / $2,076.73 / $3,754.24	Professional		$1,664.04	$2,076.73	$3,754.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,538.00	Facility		$4,100.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.72 / $1,685.92 / $3,619.76	Professional		$1,289.72	$1,685.92	$3,619.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,181.36 / $2,181.36 / $37,499.62	Facility		$2,181.36	$2,181.36	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,181.36 / $2,181.36 / $2,181.36	Professional		$2,181.36	$2,181.36	$2,181.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $7,227.90	Facility		$1,755.00	$1,755.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,532.83 / $2,516.87 / $5,620.44	Professional		$1,532.83	$2,516.87	$5,620.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,290.00 / $9,297.40	Facility		$332.00	$2,290.00	$9,297.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,633.23 / $2,177.64 / $3,139.43	Professional		$1,633.23	$2,177.64	$3,139.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,051.25 / $1,472.19 / $2,501.98	Professional		$1,051.25	$1,472.19	$2,501.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,755.00 / $74,999.25	Facility		$555.00	$1,755.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,581.92 / $2,516.87 / $5,574.79	Professional		$1,581.92	$2,516.87	$5,574.79
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 $1,557.99 / $2,090.87 / $5,319.22	Professional		$1,557.99	$2,090.87	$5,319.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,928.21 / $1,928.21 / $5,688.77	Facility		$1,928.21	$1,928.21	$5,688.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,051.25 / $2,205.26 / $3,852.65	Professional		$1,051.25	$2,205.26	$3,852.65