Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,385.71 / $4,043.00 / $10,296.00	Facility		$1,385.71	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,244.21 / $1,554.66 / $2,734.52	Professional		$1,244.21	$1,554.66	$2,734.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.54 / $1,259.54 / $2,714.68	Professional		$963.54	$1,259.54	$2,714.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,629.67 / $1,629.67 / $37,499.62	Facility		$1,629.67	$1,629.67	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,629.67 / $1,629.67 / $1,629.67	Professional		$1,629.67	$1,629.67	$1,629.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,312.46 / $1,312.46 / $7,227.90	Facility		$1,312.46	$1,312.46	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.13 / $1,861.60 / $4,184.33	Professional		$1,142.13	$1,861.60	$4,184.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,500.00 / $6,774.56	Facility		$332.00	$1,500.00	$6,774.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.78 / $1,635.71 / $2,358.15	Professional		$1,226.78	$1,635.71	$2,358.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $785.01 / $1,104.85 / $1,972.95	Professional		$785.01	$1,104.85	$1,972.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,312.46 / $74,999.25	Facility		$555.00	$1,312.46	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,180.91 / $1,865.93 / $4,184.33	Professional		$1,180.91	$1,865.93	$4,184.33
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 $1,144.84 / $1,530.81 / $3,596.23	Professional		$1,144.84	$1,530.81	$3,596.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,447.10 / $1,447.10 / $4,180.50	Facility		$1,447.10	$1,447.10	$4,180.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $785.01 / $1,657.52 / $2,891.38	Professional		$785.01	$1,657.52	$2,891.38