Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,324.00 / $11,996.00	Facility		$1,819.00	$5,324.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,806.25 / $2,354.50 / $6,758.28	Professional		$1,806.25	$2,354.50	$6,758.28
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 $1,750.94 / $2,220.15 / $4,821.07	Professional		$1,750.94	$2,220.15	$4,821.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,953.62 / $2,953.62 / $37,499.62	Facility		$2,953.62	$2,953.62	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,953.62 / $2,953.62 / $2,953.62	Professional		$2,953.62	$2,953.62	$2,953.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,356.59 / $2,356.59 / $7,227.90	Facility		$2,356.59	$2,356.59	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,714.68 / $3,331.03 / $10,499.76	Professional		$1,714.68	$3,331.03	$10,499.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,690.00 / $5,800.46	Facility		$319.00	$2,690.00	$5,800.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,492.57 / $2,767.89 / $4,459.91	Professional		$2,492.57	$2,767.89	$4,459.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,488.76 / $2,384.90 / $3,791.49	Professional		$1,488.76	$2,384.90	$3,791.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,356.59 / $74,999.25	Facility		$597.00	$2,356.59	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,017.27 / $3,482.81 / $9,850.39	Professional		$2,017.27	$3,482.81	$9,850.39
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 $2,018.89 / $3,058.33 / $6,603.11	Professional		$2,018.89	$3,058.33	$6,603.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,384.90 / $2,384.90 / $7,888.72	Facility		$2,384.90	$2,384.90	$7,888.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,488.76 / $2,553.79 / $4,891.60	Professional		$1,488.76	$2,553.79	$4,891.60