Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,983.46 / $5,228.00 / $11,996.00	Facility		$1,983.46	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,983.46 / $2,542.59 / $7,028.00	Professional		$1,983.46	$2,542.59	$7,028.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.00 / $9,974.00 / $17,122.00	Facility		$4,793.00	$9,974.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,658.94 / $2,168.55 / $5,295.86	Professional		$1,658.94	$2,168.55	$5,295.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,781.15 / $2,781.15 / $37,499.62	Facility		$2,781.15	$2,781.15	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,781.15 / $2,781.15 / $2,781.15	Professional		$2,781.15	$2,781.15	$2,781.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,297.96 / $2,297.96 / $7,227.90	Facility		$2,297.96	$2,297.96	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,928.26 / $3,421.18 / $10,407.70	Professional		$1,928.26	$3,421.18	$10,407.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,325.00 / $5,687.08	Facility		$319.00	$3,325.00	$5,687.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,421.86 / $2,679.77 / $4,372.72	Professional		$2,421.86	$2,679.77	$4,372.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,608.43 / $2,297.21 / $3,652.08	Professional		$1,608.43	$2,297.21	$3,652.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,297.96 / $74,999.25	Facility		$597.00	$2,297.96	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,019.81 / $3,766.11 / $10,166.04	Professional		$2,019.81	$3,766.11	$10,166.04
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 $1,803.22 / $2,822.98 / $7,154.19	Professional		$1,803.22	$2,822.98	$7,154.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,297.21 / $2,297.21 / $8,341.42	Facility		$2,297.21	$2,297.21	$8,341.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,615.09 / $2,459.90 / $4,711.75	Professional		$1,615.09	$2,459.90	$4,711.75