Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,541.24 / $4,051.00 / $10,152.00	Facility		$1,541.24	$4,051.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.28 / $1,470.91 / $3,108.94	Professional		$1,131.28	$1,470.91	$3,108.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,007.00 / $16,083.00	Facility		$4,583.00	$8,007.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.92 / $1,280.95 / $3,010.94	Professional		$979.92	$1,280.95	$3,010.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,728.08 / $1,728.08 / $12,319.50	Facility		$1,728.08	$1,728.08	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,728.08 / $1,728.08 / $1,728.08	Professional		$1,728.08	$1,728.08	$1,728.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.50 / $1,392.50 / $7,227.90	Facility		$1,392.50	$1,392.50	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.85 / $2,188.66 / $4,453.43	Professional		$927.85	$2,188.66	$4,453.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,452.77 / $3,163.39	Facility		$319.00	$1,452.77	$3,163.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,405.95 / $1,655.41 / $2,477.40	Professional		$1,405.95	$1,655.41	$2,477.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.51 / $1,141.66 / $2,256.09	Professional		$1,007.51	$1,141.66	$2,256.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,392.50 / $36,596.00	Facility		$597.00	$1,392.50	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,067.64 / $2,128.48 / $4,478.12	Professional		$1,067.64	$2,128.48	$4,478.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $12,962.00	Facility		$2,264.00	$5,735.00	$12,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.07 / $1,541.71 / $3,842.27	Professional		$1,043.07	$1,541.71	$3,842.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,329.07 / $1,329.07 / $4,305.88	Facility		$1,329.07	$1,329.07	$4,305.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,064.59 / $1,527.52 / $2,890.61	Professional		$1,064.59	$1,527.52	$2,890.61