Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,228.00 / $11,407.60	Facility		$1,819.00	$5,228.00	$11,407.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,503.58 / $2,058.36 / $5,848.99	Professional		$1,503.58	$2,058.36	$5,848.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,340.99 / $1,752.93 / $4,263.10	Professional		$1,340.99	$1,752.93	$4,263.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,249.48 / $2,249.48 / $10,957.50	Facility		$2,249.48	$2,249.48	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,249.48 / $2,249.48 / $2,249.48	Professional		$2,249.48	$2,249.48	$2,249.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,860.14 / $1,860.14 / $13,296.25	Facility		$1,860.14	$1,860.14	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,552.10 / $2,735.53 / $8,495.37	Professional		$1,552.10	$2,735.53	$8,495.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,627.50 / $4,604.64	Facility		$319.00	$1,627.50	$4,604.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,960.87 / $2,169.65 / $3,540.46	Professional		$1,960.87	$2,169.65	$3,540.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,218.83 / $1,859.49 / $2,956.20	Professional		$1,218.83	$1,859.49	$2,956.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,860.14 / $74,999.25	Facility		$597.00	$1,860.14	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,602.72 / $2,960.89 / $7,898.60	Professional		$1,602.72	$2,960.89	$7,898.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,632.87 / $2,455.30 / $6,064.52	Professional		$1,632.87	$2,455.30	$6,064.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,859.49 / $1,859.49 / $6,529.61	Facility		$1,859.49	$1,859.49	$6,529.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,218.83 / $1,991.18 / $3,813.95	Professional		$1,218.83	$1,991.18	$3,813.95