Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,825.40 / $5,484.60 / $9,473.40	Facility		$2,825.40	$5,484.60	$9,473.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $3,789.36	Professional		$1,000.00	$1,000.00	$3,789.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,324.00 / $3,324.00 / $8,642.40	Facility		$3,324.00	$3,324.00	$8,642.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,329.60 / $1,329.60 / $4,520.64	Professional		$1,329.60	$1,329.60	$4,520.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,994.40 / $3,324.00 / $3,324.00	Facility		$1,994.40	$3,324.00	$3,324.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,426.52 / $3,324.00 / $3,324.00	Professional		$2,426.52	$3,324.00	$3,324.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,322.71 / $6,731.28 / $8,625.44	Facility		$2,322.71	$6,731.28	$8,625.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,002.62 / $4,498.52 / $16,021.68	Professional		$2,002.62	$4,498.52	$16,021.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,321.20 / $7,479.00	Facility		$319.00	$4,321.20	$7,479.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,529.04 / $2,659.20 / $6,082.92	Professional		$1,529.04	$2,659.20	$6,082.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,198.38 / $3,157.80 / $5,928.53	Professional		$2,198.38	$3,157.80	$5,928.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,021.95 / $8,625.44	Facility		$555.00	$7,021.95	$8,625.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $3,722.88 / $9,972.00	Professional		$640.00	$3,722.88	$9,972.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,991.60 / $2,991.60 / $3,324.00	Facility		$2,991.60	$2,991.60	$3,324.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,396.08 / $1,994.40 / $5,218.18	Professional		$1,396.08	$1,994.40	$5,218.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,523.45 / $3,523.45 / $3,523.45	Facility		$3,523.45	$3,523.45	$3,523.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,133.71 / $3,282.90 / $3,912.34	Professional		$2,133.71	$3,282.90	$3,912.34