Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,680.29 / $4,043.00 / $10,296.00	Facility		$1,680.29	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,559.12 / $1,947.63 / $3,501.02	Professional		$1,559.12	$1,947.63	$3,501.02
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 $1,203.44 / $1,573.13 / $3,418.97	Professional		$1,203.44	$1,573.13	$3,418.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,045.80 / $2,045.80 / $37,499.62	Facility		$2,045.80	$2,045.80	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,045.80 / $2,045.80 / $2,045.80	Professional		$2,045.80	$2,045.80	$2,045.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,655.22 / $1,655.22 / $7,227.90	Facility		$1,655.22	$1,655.22	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.78 / $2,411.61 / $5,295.76	Professional		$1,431.78	$2,411.61	$5,295.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,587.64 / $12,768.70	Facility		$332.00	$2,587.64	$12,768.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,552.58 / $2,070.11 / $2,984.41	Professional		$1,552.58	$2,070.11	$2,984.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $984.51 / $1,390.58 / $2,483.16	Professional		$984.51	$1,390.58	$2,483.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,655.22 / $74,999.25	Facility		$555.00	$1,655.22	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,483.00 / $2,682.89 / $5,295.76	Professional		$1,483.00	$2,682.89	$5,295.76
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 $1,412.78 / $1,946.52 / $4,662.32	Professional		$1,412.78	$1,946.52	$4,662.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,821.33 / $1,821.33 / $5,433.82	Facility		$1,821.33	$1,821.33	$5,433.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $984.51 / $2,081.54 / $3,639.09	Professional		$984.51	$2,081.54	$3,639.09