Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $7,244.36	Facility		$2,884.03	$3,630.78	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $3,630.78	Professional		$2,884.03	$3,019.95	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $3,311.31	Facility		$2,884.03	$3,311.31	$3,311.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,019.95	Facility		$2,754.23	$2,754.23	$3,019.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $50,118.72	Facility		$2,454.71	$3,090.30	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $16,218.10	Professional		$3,090.30	$3,090.30	$16,218.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $5,370.32	Facility		$2,630.27	$3,090.30	$5,370.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $3,801.89	Professional		$2,630.27	$3,090.30	$3,801.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,162.28	Facility		$3,019.95	$3,019.95	$3,162.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,090.30	Professional		$3,019.95	$3,019.95	$3,090.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $50,118.72 / $75,857.76	Facility		$6,606.93	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,365.16	Professional		$3,019.95	$3,019.95	$4,365.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,548.13	Facility		$3,019.95	$3,019.95	$3,548.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $3,630.78	Professional		$2,454.71	$3,019.95	$3,630.78