Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,726.65 / $5,228.00 / $11,776.50	Facility		$1,726.65	$5,228.00	$11,776.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,428.95 / $1,894.42 / $6,070.84	Professional		$1,428.95	$1,894.42	$6,070.84
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 $1,378.98 / $1,748.51 / $3,938.00	Professional		$1,378.98	$1,748.51	$3,938.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,338.10 / $2,338.10 / $37,499.62	Facility		$2,338.10	$2,338.10	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,338.10 / $2,338.10 / $2,338.10	Professional		$2,338.10	$2,338.10	$2,338.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,932.89 / $1,932.89 / $7,227.90	Facility		$1,932.89	$1,932.89	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,525.64 / $2,647.09 / $8,489.26	Professional		$1,525.64	$2,647.09	$8,489.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,812.72 / $4,789.46	Facility		$319.00	$2,812.72	$4,789.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,045.44 / $2,265.80 / $3,682.56	Professional		$2,045.44	$2,265.80	$3,682.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,334.23 / $1,650.00 / $3,086.07	Professional		$1,334.23	$1,650.00	$3,086.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,932.89 / $74,999.25	Facility		$597.00	$1,932.89	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,654.56 / $2,767.37 / $8,022.14	Professional		$1,654.56	$2,767.37	$8,022.14
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 $1,529.95 / $2,313.57 / $5,344.85	Professional		$1,529.95	$2,313.57	$5,344.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,941.18 / $1,941.18 / $6,718.53	Facility		$1,941.18	$1,941.18	$6,718.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,334.23 / $2,078.65 / $3,981.51	Professional		$1,334.23	$2,078.65	$3,981.51