Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,465.00 / $4,648.00 / $10,296.00	Facility		$2,465.00	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,719.14 / $3,223.98 / $6,152.19	Professional		$2,719.14	$3,223.98	$6,152.19
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 $2,007.15 / $2,623.73 / $5,952.23	Professional		$2,007.15	$2,623.73	$5,952.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,378.00 / $3,378.00 / $37,499.62	Facility		$3,378.00	$3,378.00	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,378.00 / $3,378.00 / $3,378.00	Professional		$3,378.00	$3,378.00	$3,378.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,762.74 / $2,762.74 / $7,227.90	Facility		$2,762.74	$2,762.74	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,515.90 / $4,082.10 / $8,966.62	Professional		$2,515.90	$4,082.10	$8,966.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,013.32 / $7,342.40	Facility		$319.00	$4,013.32	$7,342.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,557.85 / $3,410.47 / $4,916.76	Professional		$2,557.85	$3,410.47	$4,916.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,725.94 / $2,370.09 / $4,082.82	Professional		$1,725.94	$2,370.09	$4,082.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,762.74 / $74,999.25	Facility		$555.00	$2,762.74	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,524.54 / $3,998.50 / $8,966.62	Professional		$2,524.54	$3,998.50	$8,966.62
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 $2,302.71 / $3,130.52 / $7,218.49	Professional		$2,302.71	$3,130.52	$7,218.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,994.63 / $2,994.63 / $8,027.63	Facility		$2,994.63	$2,994.63	$8,027.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,725.94 / $3,414.61 / $5,983.41	Professional		$1,725.94	$3,414.61	$5,983.41