Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,228.00 / $11,996.00	Facility		$2,220.00	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,230.41 / $2,791.48 / $6,967.46	Professional		$2,230.41	$2,791.48	$6,967.46
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 $1,801.87 / $2,355.39 / $5,752.80	Professional		$1,801.87	$2,355.39	$5,752.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,017.61 / $3,017.61 / $37,499.62	Facility		$3,017.61	$3,017.61	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,017.61 / $3,017.61 / $3,017.61	Professional		$3,017.61	$3,017.61	$3,017.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,494.13 / $2,494.13 / $7,227.90	Facility		$2,494.13	$2,494.13	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,108.94 / $3,832.92 / $11,388.06	Professional		$2,108.94	$3,832.92	$11,388.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,604.50 / $6,448.00	Facility		$319.00	$3,604.50	$6,448.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,624.79 / $2,903.63 / $4,742.17	Professional		$2,624.79	$2,903.63	$4,742.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,743.76 / $2,116.92 / $3,959.37	Professional		$1,743.76	$2,116.92	$3,959.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,494.13 / $74,999.25	Facility		$597.00	$2,494.13	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,205.86 / $3,904.63 / $11,047.06	Professional		$2,205.86	$3,904.63	$11,047.06
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 $2,184.77 / $3,093.25 / $7,087.53	Professional		$2,184.77	$3,093.25	$7,087.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,490.50 / $2,490.50 / $8,890.19	Facility		$2,490.50	$2,490.50	$8,890.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,832.99 / $2,666.87 / $5,108.20	Professional		$1,832.99	$2,666.87	$5,108.20