Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,159.78 / $5,228.00 / $11,996.00	Facility		$2,159.78	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,159.78 / $2,651.33 / $6,807.23	Professional		$2,159.78	$2,651.33	$6,807.23
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 $1,793.15 / $2,343.98 / $5,702.00	Professional		$1,793.15	$2,343.98	$5,702.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,011.16 / $3,011.16 / $37,499.62	Facility		$3,011.16	$3,011.16	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,011.16 / $3,011.16 / $3,011.16	Professional		$3,011.16	$3,011.16	$3,011.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,490.65 / $2,490.65 / $7,227.90	Facility		$2,490.65	$2,490.65	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,080.92 / $3,706.66 / $11,372.42	Professional		$2,080.92	$3,706.66	$11,372.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,950.00 / $6,165.09	Facility		$319.00	$2,950.00	$6,165.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,623.75 / $2,902.20 / $4,740.27	Professional		$2,623.75	$2,902.20	$4,740.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,741.81 / $2,114.55 / $3,954.94	Professional		$1,741.81	$2,114.55	$3,954.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,490.65 / $74,999.25	Facility		$597.00	$2,490.65	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,199.36 / $4,032.48 / $11,019.63	Professional		$2,199.36	$4,032.48	$11,019.63
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 $2,169.12 / $3,219.45 / $7,368.77	Professional		$2,169.12	$3,219.45	$7,368.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,487.71 / $2,487.71 / $9,197.94	Facility		$2,487.71	$2,487.71	$9,197.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,744.19 / $2,663.89 / $5,102.47	Professional		$1,744.19	$2,663.89	$5,102.47