Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,510.25 / $4,043.00 / $10,296.00	Facility		$1,510.25	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.16 / $1,629.83 / $3,173.76	Professional		$1,328.16	$1,629.83	$3,173.76
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 $1,044.45 / $1,365.30 / $2,986.99	Professional		$1,044.45	$1,365.30	$2,986.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,776.33 / $1,776.33 / $37,499.62	Facility		$1,776.33	$1,776.33	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,776.33 / $1,776.33 / $1,776.33	Professional		$1,776.33	$1,776.33	$1,776.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,437.20 / $1,437.20 / $7,227.90	Facility		$1,437.20	$1,437.20	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.42 / $2,195.44 / $4,600.25	Professional		$1,238.42	$2,195.44	$4,600.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,417.00 / $11,185.30	Facility		$332.00	$2,417.00	$11,185.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.84 / $1,798.45 / $2,592.77	Professional		$1,348.84	$1,798.45	$2,592.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.30 / $1,208.05 / $2,157.19	Professional		$860.30	$1,208.05	$2,157.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,437.20 / $74,999.25	Facility		$555.00	$1,437.20	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,287.14 / $2,276.15 / $4,600.25	Professional		$1,287.14	$2,276.15	$4,600.25
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 $1,226.81 / $1,667.64 / $3,923.45	Professional		$1,226.81	$1,667.64	$3,923.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,582.25 / $1,582.25 / $4,780.55	Facility		$1,582.25	$1,582.25	$4,780.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $860.30 / $1,808.50 / $3,161.40	Professional		$860.30	$1,808.50	$3,161.40