Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,204.69 / $5,228.00 / $11,996.00	Facility		$2,204.69	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,204.69 / $2,747.35 / $7,433.79	Professional		$2,204.69	$2,747.35	$7,433.79
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 $1,805.53 / $2,360.17 / $5,764.00	Professional		$1,805.53	$2,360.17	$5,764.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,031.29 / $3,031.29 / $37,499.62	Facility		$3,031.29	$3,031.29	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,031.29 / $3,031.29 / $3,031.29	Professional		$3,031.29	$3,031.29	$3,031.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,506.98 / $2,506.98 / $7,227.90	Facility		$2,506.98	$2,506.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,095.15 / $3,784.82 / $11,461.69	Professional		$2,095.15	$3,784.82	$11,461.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,685.62 / $6,961.60	Facility		$319.00	$3,685.62	$6,961.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,639.80 / $2,920.30 / $4,768.85	Professional		$2,639.80	$2,920.30	$4,768.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,753.14 / $2,503.89 / $3,980.65	Professional		$1,753.14	$2,503.89	$3,980.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,506.98 / $74,999.25	Facility		$597.00	$2,506.98	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,214.09 / $4,107.27 / $11,207.05	Professional		$2,214.09	$4,107.27	$11,207.05
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 $2,182.44 / $3,315.23 / $7,417.94	Professional		$2,182.44	$3,315.23	$7,417.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,503.89 / $2,503.89 / $9,253.50	Facility		$2,503.89	$2,503.89	$9,253.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,788.37 / $2,512.21 / $5,135.66	Professional		$1,788.37	$2,512.21	$5,135.66