Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $5,324.00 / $11,996.00	Facility		$2,303.00	$5,324.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,615.44 / $3,302.63 / $8,232.85	Professional		$2,615.44	$3,302.63	$8,232.85
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 $2,127.96 / $2,781.67 / $6,799.40	Professional		$2,127.96	$2,781.67	$6,799.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,567.78 / $3,567.78 / $37,499.62	Facility		$3,567.78	$3,567.78	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,567.78 / $3,567.78 / $3,567.78	Professional		$3,567.78	$3,567.78	$3,567.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.60 / $2,951.60 / $7,227.90	Facility		$2,951.60	$2,951.60	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,466.85 / $4,489.47 / $13,576.35	Professional		$2,466.85	$4,489.47	$13,576.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,040.00 / $7,301.95	Facility		$319.00	$4,040.00	$7,301.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,104.64 / $3,959.28 / $6,090.00	Professional		$3,104.64	$3,959.28	$6,090.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,060.96 / $2,502.02 / $4,679.62	Professional		$2,060.96	$2,502.02	$4,679.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,951.60 / $74,999.25	Facility		$597.00	$2,951.60	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,611.28 / $4,835.51 / $13,239.56	Professional		$2,611.28	$4,835.51	$13,239.56
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 $2,604.27 / $3,822.41 / $8,763.26	Professional		$2,604.27	$3,822.41	$8,763.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,943.55 / $2,943.55 / $11,159.94	Facility		$2,943.55	$2,943.55	$11,159.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,139.62 / $3,152.01 / $6,037.44	Professional		$2,139.62	$3,152.01	$6,037.44