Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,563.32 / $4,910.00 / $11,396.00	Facility		$1,563.32	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,433.75 / $1,791.07 / $3,162.94	Professional		$1,433.75	$1,791.07	$3,162.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,608.00 / $14,193.00	Facility		$4,568.00	$7,608.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.13 / $1,095.59 / $3,180.01	Professional		$838.13	$1,095.59	$3,180.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,891.53 / $1,891.53 / $37,499.62	Facility		$1,891.53	$1,891.53	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,891.53 / $1,891.53 / $1,891.53	Professional		$1,891.53	$1,891.53	$1,891.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,533.35 / $7,227.90 / $39,142.00	Facility		$1,533.35	$7,227.90	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,324.80 / $2,169.26 / $4,897.54	Professional		$1,324.80	$2,169.26	$4,897.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,436.85 / $10,694.04	Facility		$332.00	$2,436.85	$10,694.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,431.26 / $1,908.35 / $2,751.20	Professional		$1,431.26	$1,908.35	$2,751.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.32 / $1,288.78 / $2,301.36	Professional		$904.32	$1,288.78	$2,301.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,533.35 / $74,999.25	Facility		$555.00	$1,533.35	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,376.00 / $2,160.14 / $4,844.12	Professional		$1,376.00	$2,160.14	$4,844.12
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 $1,282.09 / $1,754.09 / $4,298.49	Professional		$1,282.09	$1,754.09	$4,298.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,687.99 / $1,687.99 / $4,175.50	Facility		$1,687.99	$1,687.99	$4,175.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $904.32 / $1,924.81 / $3,372.67	Professional		$904.32	$1,924.81	$3,372.67