Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,471.17 / $4,043.00 / $10,296.00	Facility		$1,471.17	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,238.96 / $1,587.19 / $3,087.42	Professional		$1,238.96	$1,587.19	$3,087.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.01 / $1,329.43 / $2,893.72	Professional		$1,017.01	$1,329.43	$2,893.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,730.10 / $1,730.10 / $37,499.62	Facility		$1,730.10	$1,730.10	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,730.10 / $1,730.10 / $1,730.10	Professional		$1,730.10	$1,730.10	$1,730.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.13 / $1,399.13 / $7,227.90	Facility		$1,399.13	$1,399.13	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.83 / $2,011.91 / $4,478.78	Professional		$1,196.83	$2,011.91	$4,478.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,500.00 / $7,252.07	Facility		$332.00	$1,500.00	$7,252.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,313.25 / $1,751.00 / $2,524.36	Professional		$1,313.25	$1,751.00	$2,524.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.68 / $1,176.43 / $1,998.40	Professional		$820.68	$1,176.43	$1,998.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,399.13 / $74,999.25	Facility		$555.00	$1,399.13	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,253.54 / $2,194.11 / $4,478.78	Professional		$1,253.54	$2,194.11	$4,478.78
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 $1,207.11 / $1,645.35 / $3,817.04	Professional		$1,207.11	$1,645.35	$3,817.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,540.84 / $1,540.84 / $4,537.51	Facility		$1,540.84	$1,540.84	$4,537.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $820.68 / $1,761.40 / $3,078.67	Professional		$820.68	$1,761.40	$3,078.67