Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,265.80 / $10,000.00	Facility		$1,737.80	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $3,890.45	Professional		$1,258.93	$1,513.56	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $3,467.37	Professional		$1,071.52	$1,348.96	$3,467.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $8,912.51	Facility		$1,995.26	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $50,118.72	Facility		$1,862.09	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $6,309.57	Professional		$1,380.38	$2,089.30	$6,309.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $5,011.87	Facility		$1,258.93	$1,621.81	$5,011.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $3,019.95	Professional		$1,548.82	$2,089.30	$3,019.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $2,951.21	Professional		$1,023.29	$1,737.80	$2,951.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,819.70 / $3,801.89	Professional		$398.11	$1,819.70	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $12,882.50	Facility		$2,344.23	$5,128.61	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $4,168.69	Professional		$1,202.26	$1,698.24	$4,168.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $6,456.54	Facility		$1,122.02	$1,659.59	$6,456.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $4,168.69	Professional		$1,023.29	$1,659.59	$4,168.69