Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.03 / $4,910.00 / $11,396.00	Facility		$1,214.03	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.35 / $1,290.72 / $2,253.33	Professional		$1,059.35	$1,290.72	$2,253.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.91 / $1,080.93 / $2,348.62	Professional		$826.91	$1,080.93	$2,348.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,403.73 / $1,403.73 / $37,499.62	Facility		$1,403.73	$1,403.73	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,403.73 / $1,403.73 / $1,403.73	Professional		$1,403.73	$1,403.73	$1,403.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,135.80 / $7,227.90 / $39,142.00	Facility		$1,135.80	$7,227.90	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.77 / $1,563.03 / $3,608.59	Professional		$980.77	$1,563.03	$3,608.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,500.00 / $2,668.07	Facility		$319.00	$1,500.00	$2,668.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.23 / $1,422.97 / $2,051.44	Professional		$1,067.23	$1,422.97	$2,051.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.59 / $956.69 / $1,708.36	Professional		$801.59	$956.69	$1,708.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,135.80 / $74,999.25	Facility		$555.00	$1,135.80	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,014.92 / $1,602.71 / $3,594.08	Professional		$1,014.92	$1,602.71	$3,594.08
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 $965.76 / $1,307.95 / $3,432.20	Professional		$965.76	$1,307.95	$3,432.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,253.04 / $1,253.04 / $3,310.60	Facility		$1,253.04	$1,253.04	$3,310.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $906.30 / $1,432.08 / $2,503.62	Professional		$906.30	$1,432.08	$2,503.62