Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.63 / $4,043.00 / $10,296.00	Facility		$1,363.63	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.76 / $1,528.62 / $2,748.38	Professional		$1,225.76	$1,528.62	$2,748.38
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 $945.15 / $1,235.50 / $2,693.61	Professional		$945.15	$1,235.50	$2,693.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,608.46 / $1,608.46 / $37,499.62	Facility		$1,608.46	$1,608.46	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,608.46 / $1,608.46 / $1,608.46	Professional		$1,608.46	$1,608.46	$1,608.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,298.42 / $1,298.42 / $7,227.90	Facility		$1,298.42	$1,298.42	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.53 / $1,969.09 / $4,148.43	Professional		$1,120.53	$1,969.09	$4,148.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,196.10 / $10,267.74	Facility		$332.00	$2,196.10	$10,267.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.39 / $1,753.33 / $2,334.44	Professional		$1,349.39	$1,753.33	$2,334.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.61 / $1,089.24 / $1,945.05	Professional		$836.61	$1,089.24	$1,945.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,298.42 / $74,999.25	Facility		$555.00	$1,298.42	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,167.22 / $2,104.31 / $4,148.43	Professional		$1,167.22	$2,104.31	$4,148.43
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 $1,142.73 / $1,524.41 / $4,413.56	Professional		$1,142.73	$1,524.41	$4,413.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,426.64 / $1,426.64 / $4,420.64	Facility		$1,426.64	$1,426.64	$4,420.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $836.61 / $1,628.25 / $2,850.49	Professional		$836.61	$1,628.25	$2,850.49