Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,978.14 / $5,228.00 / $11,996.00	Facility		$1,978.14	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,978.14 / $3,589.30 / $5,857.84	Professional		$1,978.14	$3,589.30	$5,857.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,327.17 / $3,042.07 / $7,172.44	Professional		$2,327.17	$3,042.07	$7,172.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,043.68 / $4,043.68 / $37,499.62	Facility		$4,043.68	$4,043.68	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,043.68 / $4,043.68 / $4,043.68	Professional		$4,043.68	$4,043.68	$4,043.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,288.87 / $3,288.87 / $3,288.87	Professional		$3,288.87	$3,288.87	$3,288.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,939.00 / $7,798.91	Facility		$319.00	$3,939.00	$7,798.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,423.33 / $3,905.94 / $5,996.49	Professional		$3,423.33	$3,905.94	$5,996.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,928.14 / $3,501.88 / $5,205.51	Professional		$1,928.14	$3,501.88	$5,205.51
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 $3,288.87 / $4,562.93 / $9,948.92	Professional		$3,288.87	$4,562.93	$9,948.92
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 $2,497.23 / $3,728.22 / $9,895.15	Professional		$2,497.23	$3,728.22	$9,895.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,718.22 / $3,718.22 / $9,635.37	Facility		$3,718.22	$3,718.22	$9,635.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,928.14 / $3,718.22 / $6,073.18	Professional		$1,928.14	$3,718.22	$6,073.18