Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.00 / $5,228.00 / $11,396.00	Facility		$1,548.00	$5,228.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.36 / $1,671.66 / $4,610.78	Professional		$1,304.36	$1,671.66	$4,610.78
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 $1,221.13 / $1,548.36 / $3,473.86	Professional		$1,221.13	$1,548.36	$3,473.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,062.69 / $2,062.69 / $37,499.62	Facility		$2,062.69	$2,062.69	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,062.69 / $2,062.69 / $2,062.69	Professional		$2,062.69	$2,062.69	$2,062.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,704.62 / $1,704.62 / $7,227.90	Facility		$1,704.62	$1,704.62	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.28 / $2,353.67 / $7,497.14	Professional		$1,328.28	$2,353.67	$7,497.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,479.69 / $4,224.96	Facility		$319.00	$2,479.69	$4,224.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,803.53 / $1,997.53 / $3,248.52	Professional		$1,803.53	$1,997.53	$3,248.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,018.10 / $1,710.69 / $2,719.63	Professional		$1,018.10	$1,710.69	$2,719.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,704.62 / $74,999.25	Facility		$597.00	$1,704.62	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,462.80 / $2,417.92 / $7,089.00	Professional		$1,462.80	$2,417.92	$7,089.00
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 $1,308.73 / $2,092.15 / $4,804.14	Professional		$1,308.73	$2,092.15	$4,804.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,710.69 / $1,710.69 / $5,335.87	Facility		$1,710.69	$1,710.69	$5,335.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,034.98 / $1,718.39 / $3,427.24	Professional		$1,034.98	$1,718.39	$3,427.24