Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.84 / $4,043.00 / $10,296.00	Facility		$1,406.84	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.71 / $1,579.86 / $2,779.20	Professional		$1,264.71	$1,579.86	$2,779.20
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 $979.10 / $1,279.88 / $2,765.35	Professional		$979.10	$1,279.88	$2,765.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,655.87 / $1,655.87 / $37,499.62	Facility		$1,655.87	$1,655.87	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,655.87 / $1,655.87 / $1,655.87	Professional		$1,655.87	$1,655.87	$1,655.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,333.51 / $1,333.51 / $7,227.90	Facility		$1,333.51	$1,333.51	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.15 / $1,990.99 / $4,254.35	Professional		$1,177.15	$1,990.99	$4,254.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,209.00 / $10,219.02	Facility		$332.00	$2,209.00	$10,219.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,244.82 / $1,659.76 / $2,392.81	Professional		$1,244.82	$1,659.76	$2,392.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.55 / $1,121.80 / $2,003.18	Professional		$807.55	$1,121.80	$2,003.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,333.51 / $74,999.25	Facility		$555.00	$1,333.51	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,201.13 / $2,168.23 / $4,254.35	Professional		$1,201.13	$2,168.23	$4,254.35
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 $1,134.30 / $1,519.52 / $3,503.77	Professional		$1,134.30	$1,519.52	$3,503.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,469.28 / $1,469.28 / $4,481.35	Facility		$1,469.28	$1,469.28	$4,481.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $807.55 / $1,682.01 / $2,935.69	Professional		$807.55	$1,682.01	$2,935.69