Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.66 / $4,043.00 / $10,296.00	Facility		$1,167.66	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.93 / $1,308.63 / $2,360.35	Professional		$1,027.93	$1,308.63	$2,360.35
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 $810.78 / $1,059.84 / $2,278.67	Professional		$810.78	$1,059.84	$2,278.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,376.88 / $1,376.88 / $37,499.62	Facility		$1,376.88	$1,376.88	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,376.88 / $1,376.88 / $1,376.88	Professional		$1,376.88	$1,376.88	$1,376.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,112.57 / $1,112.57 / $7,227.90	Facility		$1,112.57	$1,112.57	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.92 / $1,623.16 / $3,544.14	Professional		$977.92	$1,623.16	$3,544.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,745.00 / $8,363.60	Facility		$332.00	$1,745.00	$8,363.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.72 / $1,390.30 / $2,004.34	Professional		$1,042.72	$1,390.30	$2,004.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.37 / $933.86 / $1,667.60	Professional		$670.37	$933.86	$1,667.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,112.57 / $74,999.25	Facility		$555.00	$1,112.57	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,012.88 / $1,623.16 / $3,544.14	Professional		$1,012.88	$1,623.16	$3,544.14
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 $936.68 / $1,277.91 / $2,911.15	Professional		$936.68	$1,277.91	$2,911.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,223.14 / $1,223.14 / $3,647.09	Facility		$1,223.14	$1,223.14	$3,647.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $670.37 / $1,397.48 / $2,443.88	Professional		$670.37	$1,397.48	$2,443.88