Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,043.00 / $10,296.00	Facility		$1,516.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,379.08 / $1,684.90 / $3,093.64	Professional		$1,379.08	$1,684.90	$3,093.64
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 $1,063.69 / $1,390.45 / $3,007.18	Professional		$1,063.69	$1,390.45	$3,007.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,810.01 / $1,810.01 / $37,499.62	Facility		$1,810.01	$1,810.01	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,810.01 / $1,810.01 / $1,810.01	Professional		$1,810.01	$1,810.01	$1,810.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,464.29 / $1,464.29 / $7,227.90	Facility		$1,464.29	$1,464.29	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,261.33 / $2,077.35 / $4,645.12	Professional		$1,261.33	$2,077.35	$4,645.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,288.66 / $9,642.50	Facility		$332.00	$2,288.66	$9,642.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.19 / $1,830.92 / $2,639.58	Professional		$1,373.19	$1,830.92	$2,639.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.79 / $1,231.73 / $2,090.73	Professional		$838.79	$1,231.73	$2,090.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,464.29 / $74,999.25	Facility		$555.00	$1,464.29	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,310.97 / $2,077.35 / $4,645.12	Professional		$1,310.97	$2,077.35	$4,645.12
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 $1,230.08 / $1,669.99 / $3,992.25	Professional		$1,230.08	$1,669.99	$3,992.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,613.26 / $1,613.26 / $4,446.64	Facility		$1,613.26	$1,613.26	$4,446.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $838.79 / $1,842.78 / $3,223.36	Professional		$838.79	$1,842.78	$3,223.36