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 $1,589.39 / $2,849.82 / $4,675.85	Professional		$1,589.39	$2,849.82	$4,675.85
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 $1,810.82 / $2,367.09 / $5,168.32	Professional		$1,810.82	$2,367.09	$5,168.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,108.58 / $3,108.58 / $37,499.62	Facility		$3,108.58	$3,108.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,108.58 / $3,108.58 / $3,108.58	Professional		$3,108.58	$3,108.58	$3,108.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,514.66 / $2,514.66 / $7,227.90	Facility		$2,514.66	$2,514.66	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,749.06 / $3,290.87 / $7,515.45	Professional		$1,749.06	$3,290.87	$7,515.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,350.56 / $5,920.88	Facility		$319.00	$2,350.56	$5,920.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,368.35 / $3,157.80 / $4,552.50	Professional		$2,368.35	$3,157.80	$4,552.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.87 / $2,112.31 / $3,588.19	Professional		$847.87	$2,112.31	$3,588.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,514.66 / $74,999.25	Facility		$555.00	$2,514.66	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,812.02 / $3,276.02 / $7,492.89	Professional		$1,812.02	$3,276.02	$7,492.89
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 $1,969.34 / $2,998.98 / $8,596.64	Professional		$1,969.34	$2,998.98	$8,596.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,766.61 / $2,766.61 / $5,173.97	Facility		$2,766.61	$2,766.61	$5,173.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $847.87 / $3,162.64 / $4,586.82	Professional		$847.87	$3,162.64	$4,586.82