Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,874.33 / $5,228.00 / $11,996.00	Facility		$1,874.33	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,895.48 / $2,203.03 / $7,028.00	Professional		$1,895.48	$2,203.03	$7,028.00
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 $1,620.67 / $2,118.53 / $4,815.89	Professional		$1,620.67	$2,118.53	$4,815.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,724.22 / $2,724.22 / $37,499.62	Facility		$2,724.22	$2,724.22	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,724.22 / $2,724.22 / $2,724.22	Professional		$2,724.22	$2,724.22	$2,724.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,251.87 / $2,251.87 / $7,227.90	Facility		$2,251.87	$2,251.87	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,872.13 / $3,267.80 / $9,974.46	Professional		$1,872.13	$3,267.80	$9,974.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,309.26 / $6,385.60	Facility		$319.00	$3,309.26	$6,385.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,370.17 / $2,622.09 / $4,281.78	Professional		$2,370.17	$2,622.09	$4,281.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,516.35 / $2,248.96 / $3,575.37	Professional		$1,516.35	$2,248.96	$3,575.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,251.87 / $74,999.25	Facility		$597.00	$2,251.87	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,942.13 / $3,511.75 / $9,654.66	Professional		$1,942.13	$3,511.75	$9,654.66
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 $1,988.54 / $2,935.47 / $6,192.31	Professional		$1,988.54	$2,935.47	$6,192.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,248.96 / $2,248.96 / $8,154.20	Facility		$2,248.96	$2,248.96	$8,154.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,516.35 / $2,408.23 / $4,612.79	Professional		$1,516.35	$2,408.23	$4,612.79