Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,809.01 / $5,228.00 / $11,396.00	Facility		$1,809.01	$5,228.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.92 / $1,925.91 / $4,941.91	Professional		$1,523.92	$1,925.91	$4,941.91
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 $1,253.49 / $1,638.55 / $4,012.27	Professional		$1,253.49	$1,638.55	$4,012.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,117.66 / $2,117.66 / $37,499.62	Facility		$2,117.66	$2,117.66	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,117.66 / $2,117.66 / $2,117.66	Professional		$2,117.66	$2,117.66	$2,117.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.47 / $1,751.47 / $7,227.90	Facility		$1,751.47	$1,751.47	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,504.81 / $2,616.79 / $7,875.55	Professional		$1,504.81	$2,616.79	$7,875.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,583.17 / $4,942.39	Facility		$319.00	$2,583.17	$4,942.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,849.08 / $2,352.01 / $8,444.11	Professional		$1,849.08	$2,352.01	$8,444.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,227.89 / $1,753.71 / $2,788.03	Professional		$1,227.89	$1,753.71	$2,788.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,751.47 / $74,999.25	Facility		$597.00	$1,751.47	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,542.22 / $2,860.74 / $7,801.52	Professional		$1,542.22	$2,860.74	$7,801.52
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 $1,527.36 / $2,157.96 / $5,163.83	Professional		$1,527.36	$2,157.96	$5,163.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,753.71 / $1,753.71 / $6,287.13	Facility		$1,753.71	$1,753.71	$6,287.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,240.03 / $1,877.90 / $3,596.99	Professional		$1,240.03	$1,877.90	$3,596.99