Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,023.92 / $4,224.29 / $10,296.00	Facility		$2,023.92	$4,224.29	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,070.02 / $2,512.11 / $4,607.78	Professional		$2,070.02	$2,512.11	$4,607.78
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 $1,563.56 / $2,043.88 / $4,338.30	Professional		$1,563.56	$2,043.88	$4,338.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,631.56 / $3,478.50 / $13,477.50	Facility		$2,631.56	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,631.56 / $2,631.56 / $2,631.56	Professional		$2,631.56	$2,631.56	$2,631.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,152.30 / $2,152.30 / $7,227.90	Facility		$2,152.30	$2,152.30	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,914.37 / $3,360.40 / $6,974.72	Professional		$1,914.37	$3,360.40	$6,974.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,129.06 / $5,763.20	Facility		$319.00	$3,129.06	$5,763.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,993.83 / $2,658.44 / $3,832.59	Professional		$1,993.83	$2,658.44	$3,832.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,411.21 / $1,782.65 / $3,183.27	Professional		$1,411.21	$1,782.65	$3,183.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,152.30 / $74,999.25	Facility		$555.00	$2,152.30	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,960.52 / $3,110.24 / $6,809.92	Professional		$1,960.52	$3,110.24	$6,809.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,194.00 / $8,515.00	Facility		$1,479.00	$4,194.00	$8,515.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,874.03 / $2,530.59 / $5,813.54	Professional		$1,874.03	$2,530.59	$5,813.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,334.84 / $2,334.84 / $6,432.25	Facility		$2,334.84	$2,334.84	$6,432.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,411.21 / $2,662.28 / $4,665.12	Professional		$1,411.21	$2,662.28	$4,665.12