Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,921.68 / $4,043.00 / $10,296.00	Facility		$1,921.68	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,965.89 / $2,385.33 / $4,010.30	Professional		$1,965.89	$2,385.33	$4,010.30
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 $1,484.36 / $1,940.34 / $4,118.77	Professional		$1,484.36	$1,940.34	$4,118.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,498.23 / $3,183.00 / $13,009.50	Facility		$2,498.23	$3,183.00	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,498.23 / $2,498.23 / $2,498.23	Professional		$2,498.23	$2,498.23	$2,498.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,042.95 / $2,042.95 / $7,227.90	Facility		$2,042.95	$2,042.95	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,817.78 / $3,139.16 / $6,618.81	Professional		$1,817.78	$3,139.16	$6,618.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,971.04 / $5,473.60	Facility		$319.00	$2,971.04	$5,473.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,892.83 / $2,523.77 / $3,638.43	Professional		$1,892.83	$2,523.77	$3,638.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,340.02 / $1,692.49 / $2,867.95	Professional		$1,340.02	$1,692.49	$2,867.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,042.95 / $74,999.25	Facility		$555.00	$2,042.95	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,862.48 / $2,951.53 / $6,464.45	Professional		$1,862.48	$2,951.53	$6,464.45
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 $1,692.20 / $2,318.53 / $5,688.54	Professional		$1,692.20	$2,318.53	$5,688.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,216.73 / $2,216.73 / $6,106.29	Facility		$2,216.73	$2,216.73	$6,106.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,340.02 / $2,216.73 / $4,429.14	Professional		$1,340.02	$2,216.73	$4,429.14