Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $4,648.00 / $10,296.00	Facility		$2,303.00	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,407.36 / $2,892.66 / $5,364.80	Professional		$2,407.36	$2,892.66	$5,364.80
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 $1,800.92 / $2,354.15 / $5,231.84	Professional		$1,800.92	$2,354.15	$5,231.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,029.65 / $3,029.65 / $37,499.62	Facility		$3,029.65	$3,029.65	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,029.65 / $3,029.65 / $3,029.65	Professional		$3,029.65	$3,029.65	$3,029.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,478.79 / $2,478.79 / $7,227.90	Facility		$2,478.79	$2,478.79	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,206.05 / $3,564.60 / $8,040.42	Professional		$2,206.05	$3,564.60	$8,040.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,601.81 / $6,585.60	Facility		$319.00	$3,601.81	$6,585.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,295.25 / $3,060.34 / $4,411.97	Professional		$2,295.25	$3,060.34	$4,411.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.38 / $2,052.13 / $3,664.48	Professional		$1,548.38	$2,052.13	$3,664.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,478.79 / $74,999.25	Facility		$555.00	$2,478.79	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,261.79 / $3,564.60 / $8,040.42	Professional		$2,261.79	$3,564.60	$8,040.42
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 $2,177.07 / $2,915.87 / $7,203.27	Professional		$2,177.07	$2,915.87	$7,203.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,687.79 / $2,687.79 / $7,201.93	Facility		$2,687.79	$2,687.79	$7,201.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,548.38 / $3,064.48 / $5,370.33	Professional		$1,548.38	$3,064.48	$5,370.33