Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.00 / $5,591.52 / $11,996.00	Facility		$2,626.00	$5,591.52	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,174.65 / $4,076.07 / $11,628.10	Professional		$3,174.65	$4,076.07	$11,628.10
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 $2,620.92 / $3,426.06 / $8,393.86	Professional		$2,620.92	$3,426.06	$8,393.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,408.08 / $4,408.08 / $37,499.62	Facility		$4,408.08	$4,408.08	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,408.08 / $4,408.08 / $4,408.08	Professional		$4,408.08	$4,408.08	$4,408.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,647.35 / $3,647.35 / $7,227.90	Facility		$3,647.35	$3,647.35	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,046.96 / $5,445.21 / $16,646.66	Professional		$3,046.96	$5,445.21	$16,646.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,355.62 / $9,987.20	Facility		$319.00	$5,355.62	$9,987.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,837.13 / $4,891.96 / $17,562.91	Professional		$3,837.13	$4,891.96	$17,562.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,547.73 / $3,638.76 / $5,784.86	Professional		$2,547.73	$3,638.76	$5,784.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,647.35 / $74,999.25	Facility		$597.00	$3,647.35	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,227.56 / $5,974.60 / $16,237.17	Professional		$3,227.56	$5,974.60	$16,237.17
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 $3,229.64 / $4,804.00 / $10,853.09	Professional		$3,229.64	$4,804.00	$10,853.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,638.76 / $3,638.76 / $13,637.49	Facility		$3,638.76	$3,638.76	$13,637.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,606.64 / $3,896.45 / $7,463.37	Professional		$2,606.64	$3,896.45	$7,463.37