Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,589.21 / $7,933.82 / $83,947.00	Facility		$2,589.21	$7,933.82	$83,947.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,929.00 / $6,266.40 / $7,933.82	Professional		$1,929.00	$6,266.40	$7,933.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $5,463.00 / $131,516.00	Facility		$2,451.00	$5,463.00	$131,516.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.42 / $1,458.31 / $3,077.03	Professional		$1,191.42	$1,458.31	$3,077.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,290.11 / $3,290.11 / $13,009.50	Facility		$3,290.11	$3,290.11	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,290.11 / $3,290.11 / $3,290.11	Professional		$3,290.11	$3,290.11	$3,290.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.88 / $7,227.90 / $118,916.00	Facility		$3,825.88	$7,227.90	$118,916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,821.49 / $2,821.49 / $2,821.49	Professional		$2,821.49	$2,821.49	$2,821.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,400.00 / $12,051.29	Facility		$319.00	$2,400.00	$12,051.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,820.52 / $7,244.14 / $13,176.08	Professional		$4,820.52	$7,244.14	$13,176.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,676.90 / $5,856.64 / $8,802.92	Professional		$3,676.90	$5,856.64	$8,802.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $118,916.00	Facility		$555.00	$7,227.90	$118,916.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,136.98 / $2,821.49 / $2,821.49	Professional		$1,136.98	$2,821.49	$2,821.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,057.00 / $14,457.00	Facility		$2,705.00	$7,057.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,538.25 / $4,547.68 / $10,134.67	Professional		$2,538.25	$4,547.68	$10,134.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,853.70 / $4,853.70 / $4,853.70	Facility		$4,853.70	$4,853.70	$4,853.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,857.61 / $4,853.70 / $9,538.44	Professional		$3,857.61	$4,853.70	$9,538.44