Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,228.00 / $11,575.40	Facility		$1,819.00	$5,228.00	$11,575.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,641.75 / $2,044.82 / $5,964.06	Professional		$1,641.75	$2,044.82	$5,964.06
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 $1,357.87 / $1,775.00 / $4,333.53	Professional		$1,357.87	$1,775.00	$4,333.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,289.80 / $2,289.80 / $37,499.62	Facility		$2,289.80	$2,289.80	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,289.80 / $2,289.80 / $2,289.80	Professional		$2,289.80	$2,289.80	$2,289.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,893.14 / $1,893.14 / $7,227.90	Facility		$1,893.14	$1,893.14	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,626.30 / $2,819.29 / $8,470.49	Professional		$1,626.30	$2,819.29	$8,470.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,605.00 / $4,686.47	Facility		$319.00	$2,605.00	$4,686.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,998.90 / $2,213.31 / $3,603.38	Professional		$1,998.90	$2,213.31	$3,603.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,328.17 / $1,896.94 / $3,015.72	Professional		$1,328.17	$1,896.94	$3,015.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,893.14 / $74,999.25	Facility		$597.00	$1,893.14	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,625.43 / $3,076.71 / $8,341.24	Professional		$1,625.43	$3,076.71	$8,341.24
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 $1,666.96 / $2,482.48 / $5,567.93	Professional		$1,666.96	$2,482.48	$5,567.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,896.94 / $1,896.94 / $6,658.06	Facility		$1,896.94	$1,896.94	$6,658.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,331.23 / $2,031.27 / $3,890.75	Professional		$1,331.23	$2,031.27	$3,890.75