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 $1,686.50 / $2,381.48 / $5,992.69	Professional		$1,686.50	$2,381.48	$5,992.69
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 $1,550.05 / $2,026.21 / $4,775.68	Professional		$1,550.05	$2,026.21	$4,775.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,608.75 / $2,608.75 / $37,499.62	Facility		$2,608.75	$2,608.75	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,608.75 / $2,608.75 / $2,608.75	Professional		$2,608.75	$2,608.75	$2,608.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,158.33 / $2,158.33 / $7,227.90	Facility		$2,158.33	$2,158.33	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,780.47 / $3,199.14 / $9,516.29	Professional		$1,780.47	$3,199.14	$9,516.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,128.17 / $6,019.20	Facility		$319.00	$3,128.17	$6,019.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,276.44 / $2,519.91 / $4,106.38	Professional		$2,276.44	$2,519.91	$4,106.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,367.19 / $2,160.44 / $3,434.66	Professional		$1,367.19	$2,160.44	$3,434.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,158.33 / $74,999.25	Facility		$597.00	$2,158.33	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,854.15 / $3,307.95 / $9,001.08	Professional		$1,854.15	$3,307.95	$9,001.08
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 $1,901.52 / $2,825.03 / $6,357.66	Professional		$1,901.52	$2,825.03	$6,357.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,160.44 / $2,160.44 / $5,708.55	Facility		$2,160.44	$2,160.44	$5,708.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,367.19 / $2,313.44 / $3,924.11	Professional		$1,367.19	$2,313.44	$3,924.11