Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.94 / $4,910.00 / $11,396.00	Facility		$1,697.94	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,618.85 / $1,811.69 / $3,411.00	Professional		$1,618.85	$1,811.69	$3,411.00
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 $1,331.31 / $1,740.28 / $3,658.55	Professional		$1,331.31	$1,740.28	$3,658.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,906.17 / $1,906.17 / $37,499.62	Facility		$1,906.17	$1,906.17	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,906.17 / $1,906.17 / $1,906.17	Professional		$1,906.17	$1,906.17	$1,906.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,533.31 / $1,533.31 / $7,227.90	Facility		$1,533.31	$1,533.31	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,385.94 / $2,559.38 / $5,250.90	Professional		$1,385.94	$2,559.38	$5,250.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,337.00 / $61,807.00	Facility		$332.00	$2,337.00	$61,807.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.30 / $1,892.40 / $2,728.21	Professional		$1,419.30	$1,892.40	$2,728.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,147.16 / $1,424.97 / $2,285.62	Professional		$1,147.16	$1,424.97	$2,285.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $43,175.00	Facility		$555.00	$7,227.90	$43,175.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,486.32 / $2,473.94 / $5,215.39	Professional		$1,486.32	$2,473.94	$5,215.39
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 $1,365.27 / $1,863.14 / $4,119.43	Professional		$1,365.27	$1,863.14	$4,119.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,676.44 / $1,676.44 / $3,457.86	Facility		$1,676.44	$1,676.44	$3,457.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,147.16 / $1,676.44 / $3,016.25	Professional		$1,147.16	$1,676.44	$3,016.25