Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,465.00 / $5,411.00 / $11,996.00	Facility		$2,465.00	$5,411.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,760.40 / $3,267.69 / $13,790.70	Professional		$2,760.40	$3,267.69	$13,790.70
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 $2,107.15 / $2,754.45 / $7,009.21	Professional		$2,107.15	$2,754.45	$7,009.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,062.77 / $4,062.77 / $37,499.62	Facility		$4,062.77	$4,062.77	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,062.77 / $4,062.77 / $4,062.77	Professional		$4,062.77	$4,062.77	$4,062.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,054.50 / $3,054.50 / $7,227.90	Facility		$3,054.50	$3,054.50	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,521.44 / $4,666.57 / $13,275.69	Professional		$2,521.44	$4,666.57	$13,275.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,518.20 / $7,419.20	Facility		$319.00	$4,518.20	$7,419.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,101.60 / $3,639.66 / $5,446.94	Professional		$3,101.60	$3,639.66	$5,446.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,208.98 / $3,154.95 / $5,015.70	Professional		$2,208.98	$3,154.95	$5,015.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,054.50 / $74,999.25	Facility		$597.00	$3,054.50	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,611.14 / $4,666.57 / $12,862.79	Professional		$2,611.14	$4,666.57	$12,862.79
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 $2,381.52 / $3,645.44 / $9,443.54	Professional		$2,381.52	$3,645.44	$9,443.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,154.95 / $3,154.95 / $10,950.81	Facility		$3,154.95	$3,154.95	$10,950.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,238.88 / $3,378.38 / $6,471.03	Professional		$2,238.88	$3,378.38	$6,471.03