Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.95 / $4,043.00 / $10,296.00	Facility		$1,288.95	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.90 / $1,429.48 / $2,587.60	Professional		$1,103.90	$1,429.48	$2,587.60
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 $890.27 / $1,163.76 / $2,528.48	Professional		$890.27	$1,163.76	$2,528.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,515.36 / $1,515.36 / $37,499.62	Facility		$1,515.36	$1,515.36	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,515.36 / $1,515.36 / $1,515.36	Professional		$1,515.36	$1,515.36	$1,515.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.21 / $1,226.21 / $7,227.90	Facility		$1,226.21	$1,226.21	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.36 / $1,771.13 / $3,923.58	Professional		$1,057.36	$1,771.13	$3,923.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,920.20 / $9,126.87	Facility		$332.00	$1,920.20	$9,126.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,152.11 / $1,536.16 / $2,214.62	Professional		$1,152.11	$1,536.16	$2,214.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.21 / $1,032.56 / $1,843.84	Professional		$720.21	$1,032.56	$1,843.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,226.21 / $74,999.25	Facility		$555.00	$1,226.21	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,115.35 / $1,771.13 / $3,923.58	Professional		$1,115.35	$1,771.13	$3,923.58
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 $1,071.60 / $1,450.45 / $3,446.77	Professional		$1,071.60	$1,450.45	$3,446.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,352.41 / $1,352.41 / $3,979.39	Facility		$1,352.41	$1,352.41	$3,979.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $720.21 / $1,545.60 / $2,702.17	Professional		$720.21	$1,545.60	$2,702.17