Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $4,043.00 / $10,296.00	Facility		$1,821.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,788.13 / $2,219.66 / $3,442.64	Professional		$1,788.13	$2,219.66	$3,442.64
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 $1,379.68 / $1,803.51 / $4,116.68	Professional		$1,379.68	$1,803.51	$4,116.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,464.17 / $2,464.17 / $37,499.62	Facility		$2,464.17	$2,464.17	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,464.17 / $2,464.17 / $2,464.17	Professional		$2,464.17	$2,464.17	$2,464.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,899.91 / $1,899.91 / $7,227.90	Facility		$1,899.91	$1,899.91	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,731.15 / $2,939.81 / $6,433.43	Professional		$1,731.15	$2,939.81	$6,433.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,356.00 / $4,402.33	Facility		$319.00	$2,356.00	$4,402.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,760.93 / $2,347.91 / $3,384.90	Professional		$1,760.93	$2,347.91	$3,384.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.41 / $1,575.91 / $2,668.18	Professional		$1,219.41	$1,575.91	$2,668.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,899.91 / $74,999.25	Facility		$555.00	$1,899.91	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,731.15 / $2,915.32 / $6,271.83	Professional		$1,731.15	$2,915.32	$6,271.83
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 $1,697.85 / $2,271.56 / $5,529.21	Professional		$1,697.85	$2,271.56	$5,529.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,062.16 / $2,062.16 / $6,668.53	Facility		$2,062.16	$2,062.16	$6,668.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,219.41 / $2,062.16 / $4,120.28	Professional		$1,219.41	$2,062.16	$4,120.28