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 $2,583.28 / $2,851.04 / $7,383.32	Professional		$2,583.28	$2,851.04	$7,383.32
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 $1,953.25 / $2,553.27 / $6,165.58	Professional		$1,953.25	$2,553.27	$6,165.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,447.17 / $3,447.17 / $37,499.62	Facility		$3,447.17	$3,447.17	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,447.17 / $3,447.17 / $3,447.17	Professional		$3,447.17	$3,447.17	$3,447.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,762.82 / $2,762.82 / $39,142.00	Facility		$2,762.82	$2,762.82	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.58 / $4,294.01 / $12,170.44	Professional		$2,116.58	$4,294.01	$12,170.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,144.49 / $7,950.40	Facility		$319.00	$4,144.49	$7,950.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,790.68 / $3,283.89 / $4,914.51	Professional		$2,790.68	$3,283.89	$4,914.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,003.53 / $2,834.23 / $4,505.82	Professional		$2,003.53	$2,834.23	$4,505.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $7,227.90 / $74,999.25	Facility		$597.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,385.54 / $4,294.01 / $12,007.11	Professional		$2,385.54	$4,294.01	$12,007.11
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 $2,387.09 / $3,444.77 / $7,687.12	Professional		$2,387.09	$3,444.77	$7,687.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,834.23 / $2,834.23 / $11,248.03	Facility		$2,834.23	$2,834.23	$11,248.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,127.17 / $3,034.94 / $5,813.21	Professional		$2,127.17	$3,034.94	$5,813.21