Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,411.00 / $10,686.00	Facility		$1,819.00	$5,411.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $4,306.09	Professional		$3,135.99	$3,135.99	$4,306.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,067.17 / $1,285.49 / $2,632.37	Professional		$1,067.17	$1,285.49	$2,632.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37,499.62 / $37,499.62 / $37,499.62	Facility		$37,499.62	$37,499.62	$37,499.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $9,000.00 / $9,000.00 / $14,580.00	Facility		$9,000.00	$9,000.00	$14,580.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $2,424.00 / $2,424.00	Professional		$1,400.00	$2,424.00	$2,424.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,424.00 / $3,480.00 / $3,480.00	Professional		$2,424.00	$3,480.00	$3,480.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $597.00 / $597.00	Facility		$597.00	$597.00	$597.00
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $2,232.60 / $2,232.60 / $2,232.60	Professional		$2,232.60	$2,232.60	$2,232.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,480.00 / $3,480.00 / $3,480.00	Professional		$3,480.00	$3,480.00	$3,480.00