Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,000.72 / $5,228.00 / $11,996.00	Facility		$2,000.72	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,000.72 / $2,523.39 / $7,028.00	Professional		$2,000.72	$2,523.39	$7,028.00
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 $1,641.77 / $2,146.11 / $5,239.29	Professional		$1,641.77	$2,146.11	$5,239.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,759.60 / $2,759.60 / $37,499.62	Facility		$2,759.60	$2,759.60	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,759.60 / $2,759.60 / $2,759.60	Professional		$2,759.60	$2,759.60	$2,759.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.73 / $2,282.73 / $7,227.90	Facility		$2,282.73	$2,282.73	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,906.97 / $3,434.92 / $10,380.15	Professional		$1,906.97	$3,434.92	$10,380.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,359.64 / $6,142.40	Facility		$319.00	$3,359.64	$6,142.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,405.62 / $2,996.09 / $4,342.89	Professional		$2,405.62	$2,996.09	$4,342.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,597.92 / $1,939.88 / $3,628.23	Professional		$1,597.92	$1,939.88	$3,628.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,282.73 / $74,999.25	Facility		$597.00	$2,282.73	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,013.96 / $3,740.41 / $10,187.23	Professional		$2,013.96	$3,740.41	$10,187.23
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 $2,013.96 / $3,011.71 / $8,552.81	Professional		$2,013.96	$3,011.71	$8,552.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,282.21 / $2,282.21 / $6,480.61	Facility		$2,282.21	$2,282.21	$6,480.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,622.41 / $2,290.02 / $4,278.27	Professional		$1,622.41	$2,290.02	$4,278.27