Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,074.09 / $4,326.18 / $10,296.00	Facility		$2,074.09	$4,326.18	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,181.59 / $2,574.17 / $4,873.45	Professional		$2,181.59	$2,574.17	$4,873.45
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 $1,676.44 / $2,191.42 / $4,760.85	Professional		$1,676.44	$2,191.42	$4,760.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,695.03 / $2,695.03 / $37,499.62	Facility		$2,695.03	$2,695.03	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,695.03 / $2,695.03 / $2,695.03	Professional		$2,695.03	$2,695.03	$2,695.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,205.46 / $2,205.46 / $7,227.90	Facility		$2,205.46	$2,205.46	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,007.94 / $3,362.14 / $7,135.33	Professional		$2,007.94	$3,362.14	$7,135.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,153.22 / $5,424.00	Facility		$319.00	$3,153.22	$5,424.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,043.02 / $2,724.02 / $3,927.13	Professional		$2,043.02	$2,724.02	$3,927.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,397.55 / $1,870.18 / $3,261.49	Professional		$1,397.55	$1,870.18	$3,261.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,205.46 / $74,999.25	Facility		$555.00	$2,205.46	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,015.57 / $3,362.14 / $7,135.33	Professional		$2,015.57	$3,362.14	$7,135.33
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 $1,852.46 / $2,560.23 / $6,132.45	Professional		$1,852.46	$2,560.23	$6,132.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,392.21 / $2,392.21 / $7,622.59	Facility		$2,392.21	$2,392.21	$7,622.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,397.55 / $2,727.54 / $4,779.75	Professional		$1,397.55	$2,727.54	$4,779.75