Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.69 / $4,043.00 / $10,296.00	Facility		$1,495.69	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,365.36 / $1,677.73 / $3,160.10	Professional		$1,365.36	$1,677.73	$3,160.10
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 $1,036.25 / $1,354.58 / $3,071.08	Professional		$1,036.25	$1,354.58	$3,071.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,763.74 / $1,763.74 / $37,499.62	Facility		$1,763.74	$1,763.74	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,763.74 / $1,763.74 / $1,763.74	Professional		$1,763.74	$1,763.74	$1,763.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.75 / $1,423.75 / $7,227.90	Facility		$1,423.75	$1,423.75	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,279.21 / $2,183.52 / $4,550.07	Professional		$1,279.21	$2,183.52	$4,550.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,000.00 / $8,120.00	Facility		$332.00	$2,000.00	$8,120.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,331.75 / $1,775.66 / $2,560.00	Professional		$1,331.75	$1,775.66	$2,560.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.91 / $1,212.69 / $2,026.14	Professional		$814.91	$1,212.69	$2,026.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,423.75 / $74,999.25	Facility		$555.00	$1,423.75	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,305.47 / $2,188.40 / $4,550.07	Professional		$1,305.47	$2,188.40	$4,550.07
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 $1,228.59 / $1,672.03 / $4,333.14	Professional		$1,228.59	$1,672.03	$4,333.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,564.57 / $1,564.57 / $4,542.71	Facility		$1,564.57	$1,564.57	$4,542.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $814.91 / $1,785.85 / $3,126.08	Professional		$814.91	$1,785.85	$3,126.08