Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,786.25 / $4,043.00 / $10,296.00	Facility		$1,786.25	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,707.66 / $2,009.85 / $3,660.89	Professional		$1,707.66	$2,009.85	$3,660.89
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 $1,249.27 / $1,633.04 / $3,689.52	Professional		$1,249.27	$1,633.04	$3,689.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,104.28 / $2,104.28 / $37,499.62	Facility		$2,104.28	$2,104.28	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,104.28 / $2,104.28 / $2,104.28	Professional		$2,104.28	$2,104.28	$2,104.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.84 / $1,721.84 / $7,227.90	Facility		$1,721.84	$1,721.84	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,529.81 / $2,653.59 / $5,571.66	Professional		$1,529.81	$2,653.59	$5,571.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,200.00 / $8,932.00	Facility		$332.00	$2,200.00	$8,932.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,596.02 / $2,163.19 / $3,067.90	Professional		$1,596.02	$2,163.19	$3,067.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,100.54 / $1,428.52 / $2,418.69	Professional		$1,100.54	$1,428.52	$2,418.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,721.84 / $74,999.25	Facility		$555.00	$1,721.84	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,572.77 / $2,553.08 / $5,571.66	Professional		$1,572.77	$2,553.08	$5,571.66
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 $1,460.97 / $2,043.47 / $4,620.07	Professional		$1,460.97	$2,043.47	$4,620.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,869.59 / $1,869.59 / $6,005.94	Facility		$1,869.59	$1,869.59	$6,005.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,100.54 / $2,131.84 / $3,735.53	Professional		$1,100.54	$2,131.84	$3,735.53