Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,337.73 / $5,228.00 / $11,996.00	Facility		$2,337.73	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,337.73 / $2,802.90 / $7,952.36	Professional		$2,337.73	$2,802.90	$7,952.36
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 $2,067.19 / $2,702.23 / $6,421.40	Professional		$2,067.19	$2,702.23	$6,421.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,467.26 / $3,467.26 / $37,499.62	Facility		$3,467.26	$3,467.26	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,467.26 / $3,467.26 / $3,467.26	Professional		$3,467.26	$3,467.26	$3,467.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,868.14 / $2,868.14 / $7,227.90	Facility		$2,868.14	$2,868.14	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,384.54 / $4,242.84 / $13,089.84	Professional		$2,384.54	$4,242.84	$13,089.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,743.05 / $7,095.51	Facility		$319.00	$2,743.05	$7,095.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,017.36 / $3,336.65 / $5,455.66	Professional		$3,017.36	$3,336.65	$5,455.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,928.63 / $2,861.00 / $4,548.38	Professional		$1,928.63	$2,861.00	$4,548.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,868.14 / $74,999.25	Facility		$597.00	$2,868.14	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,476.04 / $4,600.64 / $12,484.17	Professional		$2,476.04	$4,600.64	$12,484.17
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 $2,536.36 / $3,596.28 / $8,063.66	Professional		$2,536.36	$3,596.28	$8,063.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,861.00 / $2,861.00 / $8,086.41	Facility		$2,861.00	$2,861.00	$8,086.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,928.63 / $3,063.61 / $5,210.21	Professional		$1,928.63	$3,063.61	$5,210.21