Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,228.00 / $11,996.00	Facility		$2,220.00	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,241.02 / $2,852.73 / $7,179.32	Professional		$2,241.02	$2,852.73	$7,179.32
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 $1,855.61 / $2,425.64 / $5,923.25	Professional		$1,855.61	$2,425.64	$5,923.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,106.76 / $3,106.76 / $37,499.62	Facility		$3,106.76	$3,106.76	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,106.76 / $3,106.76 / $3,106.76	Professional		$3,106.76	$3,106.76	$3,106.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,566.98 / $2,566.98 / $7,227.90	Facility		$2,566.98	$2,566.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,152.87 / $3,842.80 / $11,718.62	Professional		$2,152.87	$3,842.80	$11,718.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,708.99 / $6,347.32	Facility		$319.00	$3,708.99	$6,347.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,700.94 / $3,441.66 / $12,356.11	Professional		$2,700.94	$3,441.66	$12,356.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,794.27 / $2,562.64 / $4,074.05	Professional		$1,794.27	$2,562.64	$4,074.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,566.98 / $74,999.25	Facility		$597.00	$2,566.98	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,271.67 / $4,024.39 / $11,378.37	Professional		$2,271.67	$4,024.39	$11,378.37
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 $1,989.65 / $3,090.31 / $7,208.36	Professional		$1,989.65	$3,090.31	$7,208.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,562.64 / $2,562.64 / $6,956.52	Facility		$2,562.64	$2,562.64	$6,956.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,833.65 / $2,744.12 / $4,851.70	Professional		$1,833.65	$2,744.12	$4,851.70