Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,811.97 / $5,228.00 / $11,396.00	Facility		$1,811.97	$5,228.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.85 / $1,936.27 / $4,964.91	Professional		$1,519.85	$1,936.27	$4,964.91
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 $1,264.46 / $1,652.89 / $4,033.60	Professional		$1,264.46	$1,652.89	$4,033.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,132.96 / $2,132.96 / $37,499.62	Facility		$2,132.96	$2,132.96	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,132.96 / $2,132.96 / $2,132.96	Professional		$2,132.96	$2,132.96	$2,132.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,763.56 / $1,763.56 / $7,227.90	Facility		$1,763.56	$1,763.56	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,515.87 / $2,609.94 / $8,060.13	Professional		$1,515.87	$2,609.94	$8,060.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,601.88 / $5,056.00	Facility		$319.00	$2,601.88	$5,056.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.00 / $2,061.60 / $3,356.82	Professional		$1,862.00	$2,061.60	$3,356.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.36 / $1,767.25 / $2,809.55	Professional		$1,237.36	$1,767.25	$2,809.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,763.56 / $74,999.25	Facility		$597.00	$1,763.56	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,552.87 / $2,891.14 / $7,837.81	Professional		$1,552.87	$2,891.14	$7,837.81
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 $1,552.87 / $2,282.73 / $5,443.65	Professional		$1,552.87	$2,282.73	$5,443.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,767.25 / $1,767.25 / $6,339.05	Facility		$1,767.25	$1,767.25	$6,339.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,242.61 / $1,892.40 / $3,624.75	Professional		$1,242.61	$1,892.40	$3,624.75