Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,012.60 / $5,250.00 / $11,996.00	Facility		$2,012.60	$5,250.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,745.13 / $2,263.02 / $4,789.02	Professional		$1,745.13	$2,263.02	$4,789.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,381.38 / $1,780.13 / $4,628.00	Professional		$1,381.38	$1,780.13	$4,628.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,653.89 / $2,653.89 / $12,319.50	Facility		$2,653.89	$2,653.89	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,653.89 / $2,653.89 / $2,653.89	Professional		$2,653.89	$2,653.89	$2,653.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,108.98 / $2,108.98 / $7,227.90	Facility		$2,108.98	$2,108.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,419.30 / $3,279.54 / $6,760.28	Professional		$1,419.30	$3,279.54	$6,760.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,176.88 / $5,384.88	Facility		$332.00	$3,176.88	$5,384.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,143.96 / $2,517.19 / $3,767.12	Professional		$2,143.96	$2,517.19	$3,767.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,420.98 / $1,991.37 / $3,422.52	Professional		$1,420.98	$1,991.37	$3,422.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,108.98 / $36,596.00	Facility		$597.00	$2,108.98	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,623.46 / $3,194.52 / $6,828.43	Professional		$1,623.46	$3,194.52	$6,828.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,395.00 / $16,850.89	Facility		$2,705.00	$7,395.00	$16,850.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,136.76 / $2,304.76 / $5,181.81	Professional		$1,136.76	$2,304.76	$5,181.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,991.37 / $1,991.37 / $6,141.70	Facility		$1,991.37	$1,991.37	$6,141.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,420.98 / $2,173.02 / $4,408.07	Professional		$1,420.98	$2,173.02	$4,408.07