Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,463.58 / $5,324.00 / $11,996.00	Facility		$2,463.58	$5,324.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,541.27 / $3,574.76 / $8,839.49	Professional		$2,541.27	$3,574.76	$8,839.49
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 $2,331.12 / $3,047.22 / $7,445.53	Professional		$2,331.12	$3,047.22	$7,445.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,013.40 / $4,013.40 / $37,499.62	Facility		$4,013.40	$4,013.40	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,013.40 / $4,013.40 / $4,013.40	Professional		$4,013.40	$4,013.40	$4,013.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,234.07 / $3,234.07 / $7,227.90	Facility		$3,234.07	$3,234.07	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,718.96 / $4,781.17 / $14,429.18	Professional		$2,718.96	$4,781.17	$14,429.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,675.00 / $7,970.38	Facility		$319.00	$4,675.00	$7,970.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,411.68 / $3,782.67 / $6,128.33	Professional		$3,411.68	$3,782.67	$6,128.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,115.85 / $3,261.78 / $5,185.54	Professional		$2,115.85	$3,261.78	$5,185.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,234.07 / $74,999.25	Facility		$597.00	$3,234.07	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,824.63 / $5,013.49 / $13,480.00	Professional		$2,824.63	$5,013.49	$13,480.00
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 $2,758.86 / $4,029.54 / $9,635.89	Professional		$2,758.86	$4,029.54	$9,635.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,261.78 / $3,261.78 / $10,916.43	Facility		$3,261.78	$3,261.78	$10,916.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,115.85 / $3,492.77 / $6,690.15	Professional		$2,115.85	$3,492.77	$6,690.15