Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,813.40 / $4,043.00 / $10,296.00	Facility		$1,813.40	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.44 / $1,953.81 / $3,579.25	Professional		$1,630.44	$1,953.81	$3,579.25
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 $1,259.17 / $1,645.98 / $3,685.18	Professional		$1,259.17	$1,645.98	$3,685.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,140.55 / $2,140.55 / $37,499.62	Facility		$2,140.55	$2,140.55	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,140.55 / $2,140.55 / $2,140.55	Professional		$2,140.55	$2,140.55	$2,140.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,728.59 / $1,728.59 / $7,227.90	Facility		$1,728.59	$1,728.59	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.42 / $2,570.85 / $5,516.96	Professional		$1,521.42	$2,570.85	$5,516.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,692.32 / $11,408.60	Facility		$332.00	$2,692.32	$11,408.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,615.39 / $2,153.86 / $3,105.14	Professional		$1,615.39	$2,153.86	$3,105.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,016.36 / $1,448.18 / $2,586.01	Professional		$1,016.36	$1,448.18	$2,586.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,728.59 / $74,999.25	Facility		$555.00	$1,728.59	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,552.91 / $2,705.06 / $5,516.96	Professional		$1,552.91	$2,705.06	$5,516.96
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 $1,486.99 / $1,979.75 / $4,988.37	Professional		$1,486.99	$1,979.75	$4,988.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,896.77 / $1,896.77 / $5,799.71	Facility		$1,896.77	$1,896.77	$5,799.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,016.36 / $2,164.60 / $3,789.82	Professional		$1,016.36	$2,164.60	$3,789.82