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 $1,882.70 / $2,232.04 / $4,097.16	Professional		$1,882.70	$2,232.04	$4,097.16
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 $1,388.17 / $1,814.61 / $4,146.32	Professional		$1,388.17	$1,814.61	$4,146.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,336.98 / $2,336.98 / $37,499.62	Facility		$2,336.98	$2,336.98	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,336.98 / $2,336.98 / $2,336.98	Professional		$2,336.98	$2,336.98	$2,336.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,910.81 / $1,910.81 / $7,227.90	Facility		$1,910.81	$1,910.81	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,699.93 / $2,966.71 / $6,188.18	Professional		$1,699.93	$2,966.71	$6,188.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,735.35 / $5,075.20	Facility		$319.00	$2,735.35	$5,075.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,771.62 / $2,362.16 / $3,405.45	Professional		$1,771.62	$2,362.16	$3,405.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,209.72 / $1,647.56 / $2,827.66	Professional		$1,209.72	$1,647.56	$2,827.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,910.81 / $74,999.25	Facility		$555.00	$1,910.81	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,747.18 / $2,837.55 / $6,188.18	Professional		$1,747.18	$2,837.55	$6,188.18
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 $1,684.08 / $2,182.94 / $5,431.19	Professional		$1,684.08	$2,182.94	$5,431.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,074.01 / $2,074.01 / $6,719.17	Facility		$2,074.01	$2,074.01	$6,719.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,209.72 / $2,366.08 / $4,143.97	Professional		$1,209.72	$2,366.08	$4,143.97