Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,889.75 / $5,228.00 / $11,996.00	Facility		$1,889.75	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.75 / $2,442.21 / $6,911.80	Professional		$1,889.75	$2,442.21	$6,911.80
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 $1,588.31 / $2,076.23 / $5,068.52	Professional		$1,588.31	$2,076.23	$5,068.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,659.58 / $2,659.58 / $37,499.62	Facility		$2,659.58	$2,659.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,659.58 / $2,659.58 / $2,659.58	Professional		$2,659.58	$2,659.58	$2,659.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,200.98 / $2,200.98 / $7,227.90	Facility		$2,200.98	$2,200.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,842.87 / $3,269.31 / $10,047.79	Professional		$1,842.87	$3,269.31	$10,047.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,235.20 / $6,240.00	Facility		$319.00	$3,235.20	$6,240.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,317.40 / $2,563.41 / $4,186.84	Professional		$2,317.40	$2,563.41	$4,186.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,538.98 / $1,868.32 / $3,494.39	Professional		$1,538.98	$1,868.32	$3,494.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,200.98 / $74,999.25	Facility		$597.00	$2,200.98	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,924.39 / $3,601.43 / $9,733.16	Professional		$1,924.39	$3,601.43	$9,733.16
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 $1,943.55 / $2,868.17 / $6,244.25	Professional		$1,943.55	$2,868.17	$6,244.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,198.02 / $2,198.02 / $8,004.47	Facility		$2,198.02	$2,198.02	$8,004.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,542.38 / $2,205.19 / $4,508.31	Professional		$1,542.38	$2,205.19	$4,508.31