Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,572.99 / $4,910.00 / $11,396.00	Facility		$1,572.99	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,326.99 / $1,624.48 / $2,623.42	Professional		$1,326.99	$1,624.48	$2,623.42
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 $1,126.21 / $1,472.17 / $3,212.90	Professional		$1,126.21	$1,472.17	$3,212.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,905.70 / $1,905.70 / $37,499.62	Facility		$1,905.70	$1,905.70	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,905.70 / $1,905.70 / $1,905.70	Professional		$1,905.70	$1,905.70	$1,905.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,534.37 / $7,227.90 / $39,142.00	Facility		$1,534.37	$7,227.90	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.87 / $2,166.91 / $4,902.52	Professional		$1,338.87	$2,166.91	$4,902.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,267.00 / $4,046.40	Facility		$319.00	$2,267.00	$4,046.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,589.79 / $2,068.75 / $2,750.34	Professional		$1,589.79	$2,068.75	$2,750.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $992.97 / $1,289.56 / $2,192.59	Professional		$992.97	$1,289.56	$2,192.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,534.37 / $74,999.25	Facility		$555.00	$1,534.37	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,380.63 / $2,186.17 / $4,902.52	Professional		$1,380.63	$2,186.17	$4,902.52
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 $1,327.43 / $1,801.91 / $4,213.47	Professional		$1,327.43	$1,801.91	$4,213.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,689.01 / $1,689.01 / $4,706.01	Facility		$1,689.01	$1,689.01	$4,706.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $992.97 / $1,932.56 / $3,374.72	Professional		$992.97	$1,932.56	$3,374.72