Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,216.35 / $4,531.96 / $10,296.00	Facility		$2,216.35	$4,531.96	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,331.02 / $2,750.67 / $5,702.87	Professional		$2,331.02	$2,750.67	$5,702.87
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 $1,703.11 / $2,226.29 / $5,106.85	Professional		$1,703.11	$2,226.29	$5,106.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,882.75 / $2,882.75 / $37,499.62	Facility		$2,882.75	$2,882.75	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,882.75 / $2,882.75 / $2,882.75	Professional		$2,882.75	$2,882.75	$2,882.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,357.76 / $2,357.76 / $7,227.90	Facility		$2,357.76	$2,357.76	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,145.04 / $3,631.47 / $7,642.35	Professional		$2,145.04	$3,631.47	$7,642.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,425.74 / $6,273.60	Facility		$319.00	$3,425.74	$6,273.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,182.94 / $2,910.59 / $4,196.10	Professional		$2,182.94	$2,910.59	$4,196.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,478.85 / $1,954.78 / $3,485.96	Professional		$1,478.85	$1,954.78	$3,485.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,357.76 / $74,999.25	Facility		$555.00	$2,357.76	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,156.37 / $3,612.80 / $7,642.35	Professional		$2,156.37	$3,612.80	$7,642.35
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 $2,059.19 / $2,736.34 / $6,370.02	Professional		$2,059.19	$2,736.34	$6,370.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,556.86 / $2,556.86 / $6,858.66	Facility		$2,556.86	$2,556.86	$6,858.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,478.85 / $2,914.69 / $5,108.72	Professional		$1,478.85	$2,914.69	$5,108.72