Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,121.90 / $5,228.00 / $11,996.00	Facility		$2,121.90	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,121.90 / $2,747.28 / $6,973.66	Professional		$2,121.90	$2,747.28	$6,973.66
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 $1,773.73 / $2,318.61 / $5,662.38	Professional		$1,773.73	$2,318.61	$5,662.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,978.43 / $2,978.43 / $37,499.62	Facility		$2,978.43	$2,978.43	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,978.43 / $2,978.43 / $2,978.43	Professional		$2,978.43	$2,978.43	$2,978.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.73 / $2,463.73 / $7,227.90	Facility		$2,463.73	$2,463.73	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,059.11 / $3,655.68 / $11,249.49	Professional		$2,059.11	$3,655.68	$11,249.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,623.84 / $6,793.60	Facility		$319.00	$3,623.84	$6,793.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,595.67 / $2,871.35 / $4,689.03	Professional		$2,595.67	$2,871.35	$4,689.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,723.20 / $2,461.13 / $3,912.67	Professional		$1,723.20	$2,461.13	$3,912.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,463.73 / $74,999.25	Facility		$597.00	$2,463.73	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,160.80 / $4,036.83 / $10,895.63	Professional		$2,160.80	$4,036.83	$10,895.63
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 $2,175.38 / $3,084.48 / $7,286.81	Professional		$2,175.38	$3,084.48	$7,286.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,461.13 / $2,461.13 / $8,977.10	Facility		$2,461.13	$2,461.13	$8,977.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,738.11 / $2,635.42 / $5,047.95	Professional		$1,738.11	$2,635.42	$5,047.95