Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,043.00 / $10,296.00	Facility		$1,819.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,841.71 / $2,297.62 / $4,054.32	Professional		$1,841.71	$2,297.62	$4,054.32
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 $1,428.06 / $1,866.75 / $3,998.03	Professional		$1,428.06	$1,866.75	$3,998.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,412.98 / $2,412.98 / $37,499.62	Facility		$2,412.98	$2,412.98	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,412.98 / $2,412.98 / $2,412.98	Professional		$2,412.98	$2,412.98	$2,412.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.33 / $1,942.33 / $7,227.90	Facility		$1,942.33	$1,942.33	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,705.32 / $2,784.12 / $6,226.83	Professional		$1,705.32	$2,784.12	$6,226.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,688.00 / $4,509.72	Facility		$319.00	$2,688.00	$4,509.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,803.89 / $2,405.17 / $3,467.47	Professional		$1,803.89	$2,405.17	$3,467.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.31 / $1,627.77 / $2,906.70	Professional		$1,192.31	$1,627.77	$2,906.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,942.33 / $74,999.25	Facility		$555.00	$1,942.33	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,705.32 / $2,784.12 / $6,226.83	Professional		$1,705.32	$2,784.12	$6,226.83
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 $1,671.95 / $2,218.03 / $5,351.66	Professional		$1,671.95	$2,218.03	$5,351.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,131.98 / $2,131.98 / $6,314.13	Facility		$2,131.98	$2,131.98	$6,314.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,192.31 / $2,436.07 / $4,259.80	Professional		$1,192.31	$2,436.07	$4,259.80