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 $1,803.84 / $2,739.30 / $4,796.26	Professional		$1,803.84	$2,739.30	$4,796.26
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 $1,742.64 / $2,277.96 / $4,968.14	Professional		$1,742.64	$2,277.96	$4,968.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,987.87 / $2,987.87 / $37,499.62	Facility		$2,987.87	$2,987.87	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,987.87 / $2,987.87 / $2,987.87	Professional		$2,987.87	$2,987.87	$2,987.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,417.06 / $2,417.06 / $7,227.90	Facility		$2,417.06	$2,417.06	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.27 / $3,255.06 / $7,240.48	Professional		$1,698.27	$3,255.06	$7,240.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,575.00 / $5,692.88	Facility		$319.00	$2,575.00	$5,692.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,277.15 / $3,036.20 / $4,377.18	Professional		$2,277.15	$3,036.20	$4,377.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $964.07 / $2,030.39 / $3,625.66	Professional		$964.07	$2,030.39	$3,625.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,417.06 / $74,999.25	Facility		$555.00	$2,417.06	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,814.26 / $3,210.05 / $7,227.16	Professional		$1,814.26	$3,210.05	$7,227.16
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 $1,893.17 / $2,687.40 / $6,461.04	Professional		$1,893.17	$2,687.40	$6,461.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,659.32 / $2,659.32 / $5,225.01	Facility		$2,659.32	$2,659.32	$5,225.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $964.07 / $2,659.32 / $4,471.41	Professional		$964.07	$2,659.32	$4,471.41