Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.79 / $4,392.00 / $10,296.00	Facility		$1,267.79	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.68 / $1,402.60 / $2,521.75	Professional		$1,106.68	$1,402.60	$2,521.75
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 $864.53 / $1,130.10 / $2,472.19	Professional		$864.53	$1,130.10	$2,472.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,474.58 / $1,474.58 / $37,499.62	Facility		$1,474.58	$1,474.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,474.58 / $1,474.58 / $1,474.58	Professional		$1,474.58	$1,474.58	$1,474.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,205.71 / $1,205.71 / $7,227.90	Facility		$1,205.71	$1,205.71	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.35 / $1,665.46 / $3,838.91	Professional		$1,038.35	$1,665.46	$3,838.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,883.09 / $8,477.28	Facility		$332.00	$1,883.09	$8,477.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.84 / $1,506.47 / $2,171.82	Professional		$1,129.84	$1,506.47	$2,171.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.23 / $1,013.07 / $1,809.03	Professional		$707.23	$1,013.07	$1,809.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,205.71 / $74,999.25	Facility		$555.00	$1,205.71	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,062.69 / $1,684.71 / $3,773.22	Professional		$1,062.69	$1,684.71	$3,773.22
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 $1,033.77 / $1,399.15 / $3,242.89	Professional		$1,033.77	$1,399.15	$3,242.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,326.88 / $1,326.88 / $3,702.33	Facility		$1,326.88	$1,326.88	$3,702.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.23 / $1,515.71 / $2,651.16	Professional		$707.23	$1,515.71	$2,651.16