Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.86 / $4,043.00 / $10,296.00	Facility		$1,426.86	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.10 / $1,540.87 / $2,863.67	Professional		$1,209.10	$1,540.87	$2,863.67
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 $985.04 / $1,287.64 / $2,788.87	Professional		$985.04	$1,287.64	$2,788.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,676.17 / $1,676.17 / $37,499.62	Facility		$1,676.17	$1,676.17	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,676.17 / $1,676.17 / $1,676.17	Professional		$1,676.17	$1,676.17	$1,676.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,356.50 / $1,356.50 / $7,227.90	Facility		$1,356.50	$1,356.50	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,168.39 / $1,929.82 / $4,300.02	Professional		$1,168.39	$1,929.82	$4,300.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,123.09 / $9,135.00	Facility		$332.00	$2,123.09	$9,135.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.84 / $1,698.47 / $2,448.62	Professional		$1,273.84	$1,698.47	$2,448.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.69 / $1,142.09 / $2,039.46	Professional		$780.69	$1,142.09	$2,039.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,356.50 / $74,999.25	Facility		$555.00	$1,356.50	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,213.33 / $1,929.82 / $4,299.52	Professional		$1,213.33	$1,929.82	$4,299.52
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 $1,201.32 / $1,593.54 / $3,752.64	Professional		$1,201.32	$1,593.54	$3,752.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,495.88 / $1,495.88 / $4,346.35	Facility		$1,495.88	$1,495.88	$4,346.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $780.69 / $1,709.52 / $2,988.84	Professional		$780.69	$1,709.52	$2,988.84