Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.06 / $4,043.00 / $10,296.00	Facility		$1,690.06	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,616.40 / $2,065.89 / $3,724.51	Professional		$1,616.40	$2,065.89	$3,724.51
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 $1,284.06 / $1,678.52 / $3,598.66	Professional		$1,284.06	$1,678.52	$3,598.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,171.08 / $2,171.08 / $37,499.62	Facility		$2,171.08	$2,171.08	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,171.08 / $2,171.08 / $2,171.08	Professional		$2,171.08	$2,171.08	$2,171.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.39 / $1,745.39 / $7,227.90	Facility		$1,745.39	$1,745.39	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,520.52 / $2,548.10 / $5,604.88	Professional		$1,520.52	$2,548.10	$5,604.88
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 $1,620.16 / $2,160.21 / $3,114.31	Professional		$1,620.16	$2,160.21	$3,114.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.22 / $1,461.58 / $2,481.46	Professional		$1,046.22	$1,461.58	$2,481.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,745.39 / $74,999.25	Facility		$555.00	$1,745.39	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,575.67 / $2,548.10 / $5,604.88	Professional		$1,575.67	$2,548.10	$5,604.88
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 $1,546.88 / $2,100.84 / $4,817.10	Professional		$1,546.88	$2,100.84	$4,817.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,914.32 / $1,914.32 / $5,767.31	Facility		$1,914.32	$1,914.32	$5,767.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,046.22 / $2,187.17 / $3,824.89	Professional		$1,046.22	$2,187.17	$3,824.89