Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.63 / $4,043.00 / $10,296.00	Facility		$1,219.63	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.18 / $1,305.38 / $2,551.69	Professional		$1,085.18	$1,305.38	$2,551.69
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 $839.35 / $1,097.20 / $2,447.63	Professional		$839.35	$1,097.20	$2,447.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,423.83 / $1,423.83 / $37,499.62	Facility		$1,423.83	$1,423.83	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,423.83 / $1,423.83 / $1,423.83	Professional		$1,423.83	$1,423.83	$1,423.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.59 / $1,151.59 / $7,227.90	Facility		$1,151.59	$1,151.59	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.25 / $1,754.08 / $3,684.31	Professional		$995.25	$1,754.08	$3,684.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,720.00 / $6,983.20	Facility		$332.00	$1,720.00	$6,983.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.14 / $1,440.18 / $2,076.26	Professional		$1,080.14	$1,440.18	$2,076.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.62 / $967.56 / $1,727.76	Professional		$684.62	$967.56	$1,727.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,151.59 / $74,999.25	Facility		$555.00	$1,151.59	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,032.91 / $1,870.12 / $3,684.31	Professional		$1,032.91	$1,870.12	$3,684.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $17,688.00	Facility		$2,705.00	$7,719.00	$17,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.93 / $1,355.37 / $3,051.34	Professional		$1,028.93	$1,355.37	$3,051.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,267.26 / $1,267.26 / $3,934.76	Facility		$1,267.26	$1,267.26	$3,934.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $684.62 / $1,448.16 / $2,532.05	Professional		$684.62	$1,448.16	$2,532.05