Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.92 / $4,043.00 / $10,296.00	Facility		$1,528.92	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,449.68 / $1,773.33 / $3,184.69	Professional		$1,449.68	$1,773.33	$3,184.69
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 $1,095.66 / $1,432.24 / $3,133.48	Professional		$1,095.66	$1,432.24	$3,133.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,861.80 / $1,861.80 / $37,499.62	Facility		$1,861.80	$1,861.80	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,861.80 / $1,861.80 / $1,861.80	Professional		$1,861.80	$1,861.80	$1,861.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,507.02 / $1,507.02 / $7,227.90	Facility		$1,507.02	$1,507.02	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,310.44 / $2,224.57 / $4,825.88	Professional		$1,310.44	$2,224.57	$4,825.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,491.00 / $11,522.28	Facility		$332.00	$2,491.00	$11,522.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.85 / $1,886.46 / $2,719.65	Professional		$1,414.85	$1,886.46	$2,719.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $899.10 / $1,267.27 / $2,152.62	Professional		$899.10	$1,267.27	$2,152.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,507.02 / $74,999.25	Facility		$555.00	$1,507.02	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,348.68 / $2,449.41 / $4,825.88	Professional		$1,348.68	$2,449.41	$4,825.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.35 / $1,748.67 / $4,173.39	Professional		$1,350.35	$1,748.67	$4,173.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,659.82 / $1,659.82 / $4,995.22	Facility		$1,659.82	$1,659.82	$4,995.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $899.10 / $1,897.33 / $3,316.38	Professional		$899.10	$1,897.33	$3,316.38