Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,106.15 / $5,228.00 / $11,996.00	Facility		$2,106.15	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,106.15 / $2,657.39 / $7,272.79	Professional		$2,106.15	$2,657.39	$7,272.79
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 $1,757.97 / $2,298.01 / $5,613.64	Professional		$1,757.97	$2,298.01	$5,613.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,945.03 / $2,945.03 / $37,499.62	Facility		$2,945.03	$2,945.03	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,945.03 / $2,945.03 / $2,945.03	Professional		$2,945.03	$2,945.03	$2,945.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,434.15 / $2,434.15 / $7,227.90	Facility		$2,434.15	$2,434.15	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,042.37 / $3,616.39 / $11,020.99	Professional		$2,042.37	$3,616.39	$11,020.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,520.73 / $6,022.42	Facility		$319.00	$3,520.73	$6,022.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,563.63 / $2,836.14 / $4,630.57	Professional		$2,563.63	$2,836.14	$4,630.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,702.70 / $2,431.86 / $3,866.14	Professional		$1,702.70	$2,431.86	$3,866.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,434.15 / $74,999.25	Facility		$597.00	$2,434.15	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,144.76 / $3,967.27 / $10,772.81	Professional		$2,144.76	$3,967.27	$10,772.81
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 $2,023.43 / $3,087.92 / $6,914.74	Professional		$2,023.43	$3,087.92	$6,914.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,431.86 / $2,431.86 / $8,966.28	Facility		$2,431.86	$2,431.86	$8,966.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,741.90 / $2,604.08 / $4,987.92	Professional		$1,741.90	$2,604.08	$4,987.92