Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,409.07 / $4,648.00 / $10,296.00	Facility		$2,409.07	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,562.37 / $3,082.13 / $5,654.61	Professional		$2,562.37	$3,082.13	$5,654.61
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 $1,916.63 / $2,505.40 / $5,567.96	Professional		$1,916.63	$2,505.40	$5,567.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,229.44 / $3,229.44 / $37,499.62	Facility		$3,229.44	$3,229.44	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,229.44 / $3,229.44 / $3,229.44	Professional		$3,229.44	$3,229.44	$3,229.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,640.96 / $2,640.96 / $7,227.90	Facility		$2,640.96	$2,640.96	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,348.44 / $4,048.90 / $8,568.54	Professional		$2,348.44	$4,048.90	$8,568.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,838.30 / $7,006.40	Facility		$319.00	$3,838.30	$7,006.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,446.31 / $3,313.55 / $4,702.35	Professional		$2,446.31	$3,313.55	$4,702.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,650.94 / $2,190.54 / $3,904.04	Professional		$1,650.94	$2,190.54	$3,904.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,640.96 / $74,999.25	Facility		$555.00	$2,640.96	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,411.16 / $3,820.98 / $8,568.54	Professional		$2,411.16	$3,820.98	$8,568.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,307.17 / $3,020.50 / $7,105.11	Professional		$2,307.17	$3,020.50	$7,105.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,863.51 / $2,863.51 / $7,662.83	Facility		$2,863.51	$2,863.51	$7,662.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,650.94 / $3,265.70 / $5,721.42	Professional		$1,650.94	$3,265.70	$5,721.42