Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,430.69 / $5,324.00 / $11,996.00	Facility		$2,430.69	$5,324.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,329.21 / $3,188.43 / $11,833.10	Professional		$2,329.21	$3,188.43	$11,833.10
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 $2,299.04 / $3,005.29 / $7,233.59	Professional		$2,299.04	$3,005.29	$7,233.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,960.68 / $3,960.68 / $37,499.62	Facility		$3,960.68	$3,960.68	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,960.68 / $3,960.68 / $3,960.68	Professional		$3,960.68	$3,960.68	$3,960.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,189.20 / $3,189.20 / $7,227.90	Facility		$3,189.20	$3,189.20	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,531.03 / $4,578.57 / $14,223.87	Professional		$2,531.03	$4,578.57	$14,223.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,430.00 / $7,861.21	Facility		$319.00	$4,430.00	$7,861.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,366.53 / $3,733.47 / $6,044.40	Professional		$3,366.53	$3,733.47	$6,044.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,035.52 / $3,218.71 / $5,117.07	Professional		$2,035.52	$3,218.71	$5,117.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,189.20 / $74,999.25	Facility		$597.00	$3,189.20	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,757.55 / $4,643.43 / $13,302.24	Professional		$2,757.55	$4,643.43	$13,302.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,988.00 / $7,920.00	Facility		$1,479.00	$3,988.00	$7,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,710.40 / $4,155.29 / $9,499.87	Professional		$2,710.40	$4,155.29	$9,499.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,218.71 / $3,218.71 / $10,458.37	Facility		$3,218.71	$3,218.71	$10,458.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,035.52 / $3,446.65 / $6,601.81	Professional		$2,035.52	$3,446.65	$6,601.81