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 $1,336.80 / $1,688.11 / $3,143.60	Professional		$1,336.80	$1,688.11	$3,143.60
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 $1,081.23 / $1,413.38 / $3,054.75	Professional		$1,081.23	$1,413.38	$3,054.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,838.37 / $1,838.37 / $37,499.62	Facility		$1,838.37	$1,838.37	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,838.37 / $1,838.37 / $1,838.37	Professional		$1,838.37	$1,838.37	$1,838.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.77 / $1,487.77 / $7,227.90	Facility		$1,487.77	$1,487.77	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.13 / $2,119.19 / $4,721.02	Professional		$1,272.13	$2,119.19	$4,721.02
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 $1,396.12 / $1,861.49 / $2,683.65	Professional		$1,396.12	$1,861.49	$2,683.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.34 / $1,251.25 / $2,124.58	Professional		$864.34	$1,251.25	$2,124.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,487.77 / $74,999.25	Facility		$555.00	$1,487.77	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,331.64 / $2,114.89 / $4,721.02	Professional		$1,331.64	$2,114.89	$4,721.02
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 $1,253.07 / $1,672.01 / $3,914.70	Professional		$1,253.07	$1,672.01	$3,914.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,638.83 / $1,638.83 / $4,778.10	Facility		$1,638.83	$1,638.83	$4,778.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $864.34 / $1,872.61 / $3,274.46	Professional		$864.34	$1,872.61	$3,274.46