Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,880.58 / $4,043.00 / $10,296.00	Facility		$1,880.58	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,924.00 / $2,334.38 / $3,924.05	Professional		$1,924.00	$2,334.38	$3,924.05
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 $1,444.54 / $1,888.29 / $4,052.38	Professional		$1,444.54	$1,888.29	$4,052.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,444.52 / $3,478.50 / $13,477.50	Facility		$2,444.52	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,444.52 / $2,444.52 / $2,444.52	Professional		$2,444.52	$2,444.52	$2,444.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.15 / $1,999.15 / $7,227.90	Facility		$1,999.15	$1,999.15	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.96 / $3,097.44 / $6,476.45	Professional		$1,819.96	$3,097.44	$6,476.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,907.72 / $5,358.40	Facility		$319.00	$2,907.72	$5,358.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.36 / $2,469.82 / $3,560.65	Professional		$1,852.36	$2,469.82	$3,560.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,311.53 / $1,656.33 / $2,957.69	Professional		$1,311.53	$1,656.33	$2,957.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,999.15 / $74,999.25	Facility		$555.00	$1,999.15	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,827.40 / $2,888.05 / $6,326.23	Professional		$1,827.40	$2,888.05	$6,326.23
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 $1,678.70 / $2,349.64 / $5,566.19	Professional		$1,678.70	$2,349.64	$5,566.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,169.38 / $2,169.38 / $5,976.04	Facility		$2,169.38	$2,169.38	$5,976.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,311.53 / $2,473.94 / $4,334.52	Professional		$1,311.53	$2,473.94	$4,334.52