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 / $11,396.00	Facility		$1,819.00	$5,228.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.59 / $1,998.52 / $4,993.22	Professional		$1,557.59	$1,998.52	$4,993.22
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 $1,291.75 / $1,688.57 / $4,122.64	Professional		$1,291.75	$1,688.57	$4,122.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,169.21 / $2,169.21 / $37,499.62	Facility		$2,169.21	$2,169.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,169.21 / $2,169.21 / $2,169.21	Professional		$2,169.21	$2,169.21	$2,169.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,793.00 / $1,793.00 / $7,227.90	Facility		$1,793.00	$1,793.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,544.27 / $2,672.41 / $8,188.96	Professional		$1,544.27	$2,672.41	$8,188.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,900.00 / $4,438.14	Facility		$319.00	$1,900.00	$4,438.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,890.54 / $2,092.16 / $3,412.44	Professional		$1,890.54	$2,092.16	$3,412.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,255.54 / $1,793.20 / $2,850.81	Professional		$1,255.54	$1,793.20	$2,850.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,793.00 / $74,999.25	Facility		$597.00	$1,793.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,543.06 / $2,939.04 / $7,924.82	Professional		$1,543.06	$2,939.04	$7,924.82
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 $1,559.87 / $2,363.21 / $5,919.10	Professional		$1,559.87	$2,363.21	$5,919.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,793.20 / $1,793.20 / $6,573.72	Facility		$1,793.20	$1,793.20	$6,573.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,264.57 / $1,920.19 / $3,677.99	Professional		$1,264.57	$1,920.19	$3,677.99