Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $5,324.00 / $11,996.00	Facility		$2,303.00	$5,324.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,443.96 / $2,867.38 / $7,033.75	Professional		$2,443.96	$2,867.38	$7,033.75
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 $1,985.88 / $2,595.92 / $6,307.21	Professional		$1,985.88	$2,595.92	$6,307.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,332.36 / $3,332.36 / $37,499.62	Facility		$3,332.36	$3,332.36	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,332.36 / $3,332.36 / $3,332.36	Professional		$3,332.36	$3,332.36	$3,332.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.52 / $2,756.52 / $7,227.90	Facility		$2,756.52	$2,756.52	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,303.57 / $4,197.62 / $12,584.78	Professional		$2,303.57	$4,197.62	$12,584.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,986.44 / $7,344.00	Facility		$319.00	$3,986.44	$7,344.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,903.16 / $3,211.30 / $5,245.50	Professional		$2,903.16	$3,211.30	$5,245.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,869.22 / $2,339.80 / $4,376.20	Professional		$1,869.22	$2,339.80	$4,376.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,756.52 / $36,596.00	Facility		$597.00	$2,756.52	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,435.48 / $4,387.93 / $12,203.49	Professional		$2,435.48	$4,387.93	$12,203.49
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 $2,382.35 / $3,565.07 / $8,569.04	Professional		$2,382.35	$3,565.07	$8,569.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,752.70 / $2,752.70 / $8,165.17	Facility		$2,752.70	$2,752.70	$8,165.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,995.82 / $2,947.64 / $5,194.67	Professional		$1,995.82	$2,947.64	$5,194.67