Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.78 / $4,043.00 / $10,296.00	Facility		$1,584.78	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,343.84 / $1,652.24 / $2,575.83	Professional		$1,343.84	$1,652.24	$2,575.83
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 $1,136.10 / $1,485.12 / $3,245.26	Professional		$1,136.10	$1,485.12	$3,245.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,937.89 / $1,937.89 / $37,499.62	Facility		$1,937.89	$1,937.89	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,937.89 / $1,937.89 / $1,937.89	Professional		$1,937.89	$1,937.89	$1,937.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.99 / $1,573.99 / $7,227.90	Facility		$1,573.99	$1,573.99	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,354.90 / $2,188.23 / $5,019.66	Professional		$1,354.90	$2,188.23	$5,019.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,434.50 / $10,413.90	Facility		$332.00	$2,434.50	$10,413.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.70 / $1,947.60 / $2,807.79	Professional		$1,460.70	$1,947.60	$2,807.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.98 / $1,321.78 / $2,360.29	Professional		$913.98	$1,321.78	$2,360.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,573.99 / $74,999.25	Facility		$555.00	$1,573.99	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,403.75 / $2,222.19 / $4,983.27	Professional		$1,403.75	$2,222.19	$4,983.27
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 $1,354.24 / $1,790.17 / $4,282.88	Professional		$1,354.24	$1,790.17	$4,282.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,731.21 / $1,731.21 / $4,613.49	Facility		$1,731.21	$1,731.21	$4,613.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $913.98 / $1,963.27 / $3,459.03	Professional		$913.98	$1,963.27	$3,459.03