Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,785.33 / $5,228.00 / $11,396.00	Facility		$1,785.33	$5,228.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,409.46 / $1,998.89 / $6,158.46	Professional		$1,409.46	$1,998.89	$6,158.46
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 $1,311.73 / $1,714.68 / $4,187.83	Professional		$1,311.73	$1,714.68	$4,187.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,213.51 / $2,213.51 / $37,499.62	Facility		$2,213.51	$2,213.51	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,213.51 / $2,213.51 / $2,213.51	Professional		$2,213.51	$2,213.51	$2,213.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,830.31 / $1,830.31 / $7,227.90	Facility		$1,830.31	$1,830.31	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.41 / $2,675.58 / $8,235.45	Professional		$1,527.41	$2,675.58	$8,235.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,000.00 / $4,532.93	Facility		$319.00	$2,000.00	$4,532.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,932.41 / $2,138.94 / $3,485.33	Professional		$1,932.41	$2,138.94	$3,485.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,150.57 / $1,833.13 / $2,914.29	Professional		$1,150.57	$1,833.13	$2,914.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,830.31 / $74,999.25	Facility		$597.00	$1,830.31	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,572.80 / $2,835.69 / $7,622.53	Professional		$1,572.80	$2,835.69	$7,622.53
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 $1,548.90 / $2,276.62 / $5,595.02	Professional		$1,548.90	$2,276.62	$5,595.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,833.13 / $1,833.13 / $6,230.41	Facility		$1,833.13	$1,833.13	$6,230.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,150.57 / $1,962.95 / $3,759.89	Professional		$1,150.57	$1,962.95	$3,759.89