Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,228.00 / $11,996.00	Facility		$1,819.00	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,769.26 / $2,431.92 / $6,837.60	Professional		$1,769.26	$2,431.92	$6,837.60
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 $1,571.15 / $2,053.80 / $4,984.64	Professional		$1,571.15	$2,053.80	$4,984.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,631.69 / $2,631.69 / $37,499.62	Facility		$2,631.69	$2,631.69	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,631.69 / $2,631.69 / $2,631.69	Professional		$2,631.69	$2,631.69	$2,631.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,176.71 / $2,176.71 / $7,227.90	Facility		$2,176.71	$2,176.71	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,806.86 / $3,189.92 / $9,939.43	Professional		$1,806.86	$3,189.92	$9,939.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,200.62 / $6,008.00	Facility		$319.00	$3,200.62	$6,008.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,292.50 / $2,536.01 / $4,141.46	Professional		$2,292.50	$2,536.01	$4,141.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,522.24 / $2,174.11 / $3,456.38	Professional		$1,522.24	$2,174.11	$3,456.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,176.71 / $74,999.25	Facility		$597.00	$2,176.71	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,874.68 / $3,491.49 / $9,633.83	Professional		$1,874.68	$3,491.49	$9,633.83
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 $1,922.58 / $2,878.26 / $6,719.81	Professional		$1,922.58	$2,878.26	$6,719.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,174.11 / $2,174.11 / $7,864.74	Facility		$2,174.11	$2,174.11	$7,864.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,534.03 / $2,328.08 / $4,459.27	Professional		$1,534.03	$2,328.08	$4,459.27