Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,648.00 / $10,296.00	Facility		$1,819.00	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,713.89 / $2,989.97 / $4,803.56	Professional		$1,713.89	$2,989.97	$4,803.56
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 $2,314.96 / $2,889.58 / $5,422.28	Professional		$2,314.96	$2,889.58	$5,422.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,263.08 / $3,263.08 / $37,499.62	Facility		$3,263.08	$3,263.08	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,263.08 / $3,263.08 / $3,263.08	Professional		$3,263.08	$3,263.08	$3,263.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,639.09 / $2,639.09 / $7,227.90	Facility		$2,639.09	$2,639.09	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,852.00 / $3,454.69 / $7,894.04	Professional		$1,852.00	$3,454.69	$7,894.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,466.41 / $6,213.71	Facility		$319.00	$2,466.41	$6,213.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,485.48 / $3,313.98 / $4,777.64	Professional		$2,485.48	$3,313.98	$4,777.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.52 / $2,216.19 / $3,957.45	Professional		$904.52	$2,216.19	$3,957.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,639.09 / $74,999.25	Facility		$555.00	$2,639.09	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,770.00 / $3,454.69 / $7,875.82	Professional		$1,770.00	$3,454.69	$7,875.82
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 $2,067.48 / $2,987.79 / $7,057.34	Professional		$2,067.48	$2,987.79	$7,057.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,902.68 / $2,902.68 / $5,430.60	Facility		$2,902.68	$2,902.68	$5,430.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $904.52 / $3,318.38 / $4,812.39	Professional		$904.52	$3,318.38	$4,812.39