Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.00 / $5,845.00 / $12,075.00	Facility		$2,626.00	$5,845.00	$12,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,728.05 / $4,697.78 / $13,615.30	Professional		$3,728.05	$4,697.78	$13,615.30
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 $3,441.96 / $4,499.30 / $9,856.42	Professional		$3,441.96	$4,499.30	$9,856.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,855.19 / $5,855.19 / $37,499.62	Facility		$5,855.19	$5,855.19	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,855.19 / $5,855.19 / $5,855.19	Professional		$5,855.19	$5,855.19	$5,855.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,737.07 / $4,737.07 / $7,227.90	Facility		$4,737.07	$4,737.07	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,475.52 / $6,579.83 / $21,149.95	Professional		$3,475.52	$6,579.83	$21,149.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,215.00 / $11,750.58	Facility		$319.00	$4,215.00	$11,750.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,023.35 / $5,567.13 / $9,034.89	Professional		$5,023.35	$5,567.13	$9,034.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,994.32 / $4,764.17 / $7,574.02	Professional		$2,994.32	$4,764.17	$7,574.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,737.07 / $74,999.25	Facility		$597.00	$4,737.07	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,811.58 / $6,815.26 / $19,847.36	Professional		$3,811.58	$6,815.26	$19,847.36
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 $4,104.96 / $6,011.14 / $13,640.24	Professional		$4,104.96	$6,011.14	$13,640.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,764.17 / $4,764.17 / $16,064.01	Facility		$4,764.17	$4,764.17	$16,064.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,994.32 / $5,101.56 / $9,771.66	Professional		$2,994.32	$5,101.56	$9,771.66