Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,670.32 / $4,910.00 / $11,396.00	Facility		$1,670.32	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.85 / $1,933.88 / $3,441.79	Professional		$1,548.85	$1,933.88	$3,441.79
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 $1,200.33 / $1,569.06 / $3,418.15	Professional		$1,200.33	$1,569.06	$3,418.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,030.15 / $2,030.15 / $37,499.62	Facility		$2,030.15	$2,030.15	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,030.15 / $2,030.15 / $2,030.15	Professional		$2,030.15	$2,030.15	$2,030.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,634.54 / $7,227.90 / $39,142.00	Facility		$1,634.54	$7,227.90	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.51 / $2,310.85 / $5,222.83	Professional		$1,428.51	$2,310.85	$5,222.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,514.00 / $10,357.06	Facility		$332.00	$2,514.00	$10,357.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,523.48 / $2,031.30 / $2,928.46	Professional		$1,523.48	$2,031.30	$2,928.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $984.51 / $1,372.94 / $2,451.65	Professional		$984.51	$1,372.94	$2,451.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,634.54 / $74,999.25	Facility		$555.00	$1,634.54	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,471.59 / $2,329.02 / $5,222.83	Professional		$1,471.59	$2,329.02	$5,222.83
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 $1,427.34 / $1,942.95 / $4,488.76	Professional		$1,427.34	$1,942.95	$4,488.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,798.22 / $1,798.22 / $4,909.88	Facility		$1,798.22	$1,798.22	$4,909.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $984.51 / $2,057.38 / $3,592.92	Professional		$984.51	$2,057.38	$3,592.92