Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $4,648.00 / $10,296.00	Facility		$1,821.00	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,843.87 / $2,774.66 / $4,859.12	Professional		$1,843.87	$2,774.66	$4,859.12
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 $1,763.57 / $2,305.33 / $5,032.22	Professional		$1,763.57	$2,305.33	$5,032.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,027.02 / $3,027.02 / $37,499.62	Facility		$3,027.02	$3,027.02	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,027.02 / $3,027.02 / $3,027.02	Professional		$3,027.02	$3,027.02	$3,027.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.42 / $2,448.42 / $7,227.90	Facility		$2,448.42	$2,448.42	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,721.32 / $3,297.21 / $7,327.31	Professional		$1,721.32	$3,297.21	$7,327.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,575.00 / $5,767.18	Facility		$319.00	$2,575.00	$5,767.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,306.87 / $3,075.83 / $4,434.32	Professional		$2,306.87	$3,075.83	$4,434.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.07 / $2,056.60 / $3,672.46	Professional		$986.07	$2,056.60	$3,672.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,448.42 / $74,999.25	Facility		$555.00	$2,448.42	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,839.05 / $3,246.80 / $7,320.36	Professional		$1,839.05	$3,246.80	$7,320.36
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 $1,925.54 / $2,769.71 / $6,744.14	Professional		$1,925.54	$2,769.71	$6,744.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,693.65 / $2,693.65 / $5,291.48	Facility		$2,693.65	$2,693.65	$5,291.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $986.07 / $3,080.01 / $4,516.74	Professional		$986.07	$3,080.01	$4,516.74