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 $2,504.89 / $3,277.57 / $8,739.29	Professional		$2,504.89	$3,277.57	$8,739.29
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 $2,113.06 / $2,762.18 / $6,731.61	Professional		$2,113.06	$2,762.18	$6,731.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,538.04 / $3,538.04 / $37,499.62	Facility		$3,538.04	$3,538.04	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,538.04 / $3,538.04 / $3,538.04	Professional		$3,538.04	$3,538.04	$3,538.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,923.81 / $2,923.81 / $7,227.90	Facility		$2,923.81	$2,923.81	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,455.54 / $4,372.03 / $13,346.76	Professional		$2,455.54	$4,372.03	$13,346.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,225.32 / $7,232.20	Facility		$319.00	$4,225.32	$7,232.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,077.16 / $3,403.73 / $5,560.76	Professional		$3,077.16	$3,403.73	$5,560.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,043.52 / $2,480.83 / $4,639.99	Professional		$2,043.52	$2,480.83	$4,639.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,923.81 / $74,999.25	Facility		$597.00	$2,923.81	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,524.51 / $4,482.30 / $12,962.72	Professional		$2,524.51	$4,482.30	$12,962.72
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 $2,560.90 / $3,641.26 / $8,682.06	Professional		$2,560.90	$3,641.26	$8,682.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,918.62 / $2,918.62 / $7,932.68	Facility		$2,918.62	$2,918.62	$7,932.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,054.09 / $3,125.31 / $5,419.75	Professional		$2,054.09	$3,125.31	$5,419.75