Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,164.00 / $10,170.00	Facility		$2,220.00	$5,164.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,160.09 / $4,173.55 / $6,911.61	Professional		$3,160.09	$4,173.55	$6,911.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,499.00 / $7,264.00 / $13,780.00	Facility		$4,499.00	$7,264.00	$13,780.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,421.06 / $4,024.78 / $8,191.35	Professional		$3,421.06	$4,024.78	$8,191.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,009.53 / $5,009.53 / $37,499.62	Facility		$5,009.53	$5,009.53	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,009.53 / $5,009.53 / $5,009.53	Professional		$5,009.53	$5,009.53	$5,009.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,227.70 / $11,705.61 / $15,976.63	Professional		$4,227.70	$11,705.61	$15,976.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,656.00 / $9,608.99	Facility		$332.00	$3,656.00	$9,608.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,109.21 / $4,964.26 / $7,388.24	Professional		$4,109.21	$4,964.26	$7,388.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,298.62 / $3,298.62 / $3,298.62	Facility		$3,298.62	$3,298.62	$3,298.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,865.49 / $4,726.13 / $7,072.20	Professional		$2,865.49	$4,726.13	$7,072.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,612.69 / $4,986.39 / $9,451.18	Professional		$3,612.69	$4,986.39	$9,451.18
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 $2,980.64 / $4,234.27 / $9,932.36	Professional		$2,980.64	$4,234.27	$9,932.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,213.96 / $4,213.96 / $12,879.22	Facility		$4,213.96	$4,213.96	$12,879.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,298.62 / $5,211.82 / $8,958.54	Professional		$3,298.62	$5,211.82	$8,958.54