Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,229.16 / $5,228.00 / $11,996.00	Facility		$2,229.16	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,301.71 / $2,951.89 / $7,491.75	Professional		$2,301.71	$2,951.89	$7,491.75
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 $1,904.57 / $2,489.64 / $6,081.11	Professional		$1,904.57	$2,489.64	$6,081.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,196.43 / $3,196.43 / $37,499.62	Facility		$3,196.43	$3,196.43	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,196.43 / $3,196.43 / $3,196.43	Professional		$3,196.43	$3,196.43	$3,196.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,644.27 / $2,644.27 / $7,227.90	Facility		$2,644.27	$2,644.27	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,208.75 / $3,948.52 / $12,148.40	Professional		$2,208.75	$3,948.52	$12,148.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,580.00 / $6,541.49	Facility		$319.00	$3,580.00	$6,541.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,783.18 / $3,466.32 / $5,029.68	Professional		$2,783.18	$3,466.32	$5,029.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,848.17 / $2,639.62 / $4,196.43	Professional		$1,848.17	$2,639.62	$4,196.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,644.27 / $74,999.25	Facility		$597.00	$2,644.27	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,335.58 / $4,331.92 / $11,826.81	Professional		$2,335.58	$4,331.92	$11,826.81
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 $2,316.21 / $3,447.76 / $7,810.06	Professional		$2,316.21	$3,447.76	$7,810.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,639.62 / $2,639.62 / $9,787.27	Facility		$2,639.62	$2,639.62	$9,787.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,884.47 / $2,826.55 / $5,414.04	Professional		$1,884.47	$2,826.55	$5,414.04