Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,744.94 / $4,043.00 / $10,296.00	Facility		$1,744.94	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,524.35 / $1,948.19 / $3,906.53	Professional		$1,524.35	$1,948.19	$3,906.53
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 $1,249.55 / $1,633.41 / $3,548.42	Professional		$1,249.55	$1,633.41	$3,548.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,124.81 / $2,124.81 / $37,499.62	Facility		$2,124.81	$2,124.81	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,124.81 / $2,124.81 / $2,124.81	Professional		$2,124.81	$2,124.81	$2,124.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,719.58 / $1,719.58 / $7,227.90	Facility		$1,719.58	$1,719.58	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,480.53 / $2,438.98 / $5,497.63	Professional		$1,480.53	$2,438.98	$5,497.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,685.41 / $11,903.92	Facility		$332.00	$2,685.41	$11,903.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,611.24 / $2,148.32 / $3,097.17	Professional		$1,611.24	$2,148.32	$3,097.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $985.48 / $1,444.01 / $2,578.57	Professional		$985.48	$1,444.01	$2,578.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,719.58 / $74,999.25	Facility		$555.00	$1,719.58	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,539.55 / $2,583.71 / $5,497.63	Professional		$1,539.55	$2,583.71	$5,497.63
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 $1,444.02 / $1,974.67 / $4,695.04	Professional		$1,444.02	$1,974.67	$4,695.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,891.31 / $1,891.31 / $5,521.83	Facility		$1,891.31	$1,891.31	$5,521.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $985.48 / $2,160.41 / $3,778.92	Professional		$985.48	$2,160.41	$3,778.92