Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,148.48 / $5,164.00 / $10,686.00	Facility		$2,148.48	$5,164.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,148.48 / $2,848.02 / $8,696.20	Professional		$2,148.48	$2,848.02	$8,696.20
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 $2,100.67 / $2,696.32 / $6,114.40	Professional		$2,100.67	$2,696.32	$6,114.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,523.08 / $3,523.08 / $37,499.62	Facility		$3,523.08	$3,523.08	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,523.08 / $3,523.08 / $3,523.08	Professional		$3,523.08	$3,523.08	$3,523.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,915.15 / $2,915.15 / $7,227.90	Facility		$2,915.15	$2,915.15	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,243.48 / $4,250.29 / $12,922.82	Professional		$2,243.48	$4,250.29	$12,922.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,208.51 / $7,210.60	Facility		$319.00	$4,208.51	$7,210.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,065.96 / $3,390.19 / $5,544.15	Professional		$3,065.96	$3,390.19	$5,544.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,749.94 / $2,907.33 / $4,622.04	Professional		$1,749.94	$2,907.33	$4,622.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,915.15 / $7,227.90	Facility		$555.00	$2,915.15	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,516.61 / $4,323.08 / $12,109.53	Professional		$2,516.61	$4,323.08	$12,109.53
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 $2,454.96 / $3,773.04 / $9,036.87	Professional		$2,454.96	$3,773.04	$9,036.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,907.33 / $2,907.33 / $9,481.36	Facility		$2,907.33	$2,907.33	$9,481.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,749.94 / $3,113.22 / $5,963.14	Professional		$1,749.94	$3,113.22	$5,963.14