Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,626.54 / $4,043.00 / $10,296.00	Facility		$1,626.54	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,515.44 / $1,860.41 / $3,334.77	Professional		$1,515.44	$1,860.41	$3,334.77
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 $1,174.58 / $1,535.41 / $3,302.92	Professional		$1,174.58	$1,535.41	$3,302.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,985.52 / $1,985.52 / $37,499.62	Facility		$1,985.52	$1,985.52	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,985.52 / $1,985.52 / $1,985.52	Professional		$1,985.52	$1,985.52	$1,985.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.10 / $1,599.10 / $7,227.90	Facility		$1,599.10	$1,599.10	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,391.81 / $2,235.94 / $5,109.14	Professional		$1,391.81	$2,235.94	$5,109.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,483.79 / $10,495.10	Facility		$332.00	$2,483.79	$10,495.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,490.27 / $1,987.03 / $2,864.64	Professional		$1,490.27	$1,987.03	$2,864.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.98 / $1,343.48 / $2,399.04	Professional		$930.98	$1,343.48	$2,399.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,599.10 / $74,999.25	Facility		$555.00	$1,599.10	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,439.81 / $2,278.33 / $5,109.14	Professional		$1,439.81	$2,278.33	$5,109.14
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 $1,358.10 / $1,893.35 / $4,532.09	Professional		$1,358.10	$1,893.35	$4,532.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,759.63 / $1,759.63 / $4,713.01	Facility		$1,759.63	$1,759.63	$4,713.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $930.98 / $2,013.00 / $3,515.81	Professional		$930.98	$2,013.00	$3,515.81