Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.14 / $4,792.00 / $10,965.00	Facility		$1,353.14	$4,792.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.93 / $1,253.04 / $3,722.60	Professional		$1,030.93	$1,253.04	$3,722.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,584.00 / $8,170.00 / $16,174.00	Facility		$4,584.00	$8,170.00	$16,174.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.20 / $1,040.21 / $2,906.50	Professional		$807.20	$1,040.21	$2,906.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,716.56 / $1,716.56 / $37,499.62	Facility		$1,716.56	$1,716.56	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,716.56 / $1,716.56 / $1,716.56	Professional		$1,716.56	$1,716.56	$1,716.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,384.94 / $1,384.94 / $7,227.90	Facility		$1,384.94	$1,384.94	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,017.48 / $2,163.54 / $4,546.25	Professional		$1,017.48	$2,163.54	$4,546.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,479.00 / $3,291.84	Facility		$332.00	$1,479.00	$3,291.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.08 / $1,643.33 / $2,531.06	Professional		$1,444.08	$1,643.33	$2,531.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $879.97 / $1,300.31 / $2,413.42	Professional		$879.97	$1,300.31	$2,413.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,384.94 / $23,610.00	Facility		$597.00	$1,384.94	$23,610.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,177.45 / $2,110.42 / $4,529.33	Professional		$1,177.45	$2,110.42	$4,529.33
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 $842.60 / $1,582.15 / $3,478.07	Professional		$842.60	$1,582.15	$3,478.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,300.31 / $1,300.31 / $3,216.04	Facility		$1,300.31	$1,300.31	$3,216.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $879.97 / $1,359.36 / $2,852.68	Professional		$879.97	$1,359.36	$2,852.68