Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $4,043.00 / $10,296.00	Facility		$1,821.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,863.93 / $2,144.53 / $4,241.10	Professional		$1,863.93	$2,144.53	$4,241.10
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 $1,449.56 / $1,894.86 / $4,035.56	Professional		$1,449.56	$1,894.86	$4,035.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,245.07 / $2,245.07 / $37,499.62	Facility		$2,245.07	$2,245.07	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,245.07 / $2,245.07 / $2,245.07	Professional		$2,245.07	$2,245.07	$2,245.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,835.94 / $1,835.94 / $7,227.90	Facility		$1,835.94	$1,835.94	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,678.72 / $2,839.42 / $5,990.32	Professional		$1,678.72	$2,839.42	$5,990.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,385.00 / $9,683.10	Facility		$332.00	$2,385.00	$9,683.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,703.56 / $2,271.41 / $3,274.61	Professional		$1,703.56	$2,271.41	$3,274.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,178.34 / $1,611.14 / $2,717.18	Professional		$1,178.34	$1,611.14	$2,717.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,835.94 / $74,999.25	Facility		$555.00	$1,835.94	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,714.90 / $2,820.33 / $5,945.79	Professional		$1,714.90	$2,820.33	$5,945.79
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 $1,617.92 / $2,158.54 / $4,955.91	Professional		$1,617.92	$2,158.54	$4,955.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,992.98 / $1,992.98 / $6,427.48	Facility		$1,992.98	$1,992.98	$6,427.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,178.34 / $2,274.16 / $3,982.06	Professional		$1,178.34	$2,274.16	$3,982.06