Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,720.49 / $5,205.97 / $11,396.00	Facility		$1,720.49	$5,205.97	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.35 / $1,793.24 / $5,205.97	Professional		$1,435.35	$1,793.24	$5,205.97
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 $1,193.56 / $1,560.21 / $3,809.73	Professional		$1,193.56	$1,560.21	$3,809.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,000.03 / $2,000.03 / $37,499.62	Facility		$2,000.03	$2,000.03	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,000.03 / $2,000.03 / $2,000.03	Professional		$2,000.03	$2,000.03	$2,000.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,651.18 / $1,651.18 / $7,227.90	Facility		$1,651.18	$1,651.18	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,417.51 / $2,465.15 / $7,510.13	Professional		$1,417.51	$2,465.15	$7,510.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,398.01 / $4,091.47	Facility		$319.00	$2,398.01	$4,091.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,744.82 / $1,931.73 / $3,145.88	Professional		$1,744.82	$1,931.73	$3,145.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.34 / $1,654.39 / $2,630.12	Professional		$1,158.34	$1,654.39	$2,630.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,651.18 / $74,999.25	Facility		$597.00	$1,651.18	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,461.66 / $2,692.42 / $7,296.92	Professional		$1,461.66	$2,692.42	$7,296.92
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 $1,455.88 / $2,148.84 / $4,674.72	Professional		$1,455.88	$2,148.84	$4,674.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,654.39 / $1,654.39 / $5,987.32	Facility		$1,654.39	$1,654.39	$5,987.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,180.43 / $1,771.55 / $3,393.27	Professional		$1,180.43	$1,771.55	$3,393.27