Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,279.11 / $5,248.60 / $11,996.00	Facility		$2,279.11	$5,248.60	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,366.67 / $2,972.88 / $8,071.20	Professional		$2,366.67	$2,972.88	$8,071.20
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 $1,948.47 / $2,547.02 / $6,222.35	Professional		$1,948.47	$2,547.02	$6,222.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,269.65 / $3,269.65 / $37,499.62	Facility		$3,269.65	$3,269.65	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,269.65 / $3,269.65 / $3,269.65	Professional		$3,269.65	$3,269.65	$3,269.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,703.53 / $2,703.53 / $7,227.90	Facility		$2,703.53	$2,703.53	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,259.71 / $4,061.94 / $12,339.96	Professional		$2,259.71	$4,061.94	$12,339.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,907.04 / $6,688.31	Facility		$319.00	$3,907.04	$6,688.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,845.48 / $3,147.34 / $5,142.56	Professional		$2,845.48	$3,147.34	$5,142.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,889.24 / $2,293.54 / $4,289.68	Professional		$1,889.24	$2,293.54	$4,289.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,703.53 / $74,999.25	Facility		$597.00	$2,703.53	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,389.89 / $4,429.14 / $11,981.64	Professional		$2,389.89	$4,429.14	$11,981.64
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 $2,302.66 / $3,356.03 / $8,012.90	Professional		$2,302.66	$3,356.03	$8,012.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,698.28 / $2,698.28 / $10,060.83	Facility		$2,698.28	$2,698.28	$10,060.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,938.02 / $2,889.36 / $5,534.37	Professional		$1,938.02	$2,889.36	$5,534.37