Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,603.55 / $4,043.00 / $10,296.00	Facility		$1,603.55	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,443.46 / $1,859.31 / $3,342.05	Professional		$1,443.46	$1,859.31	$3,342.05
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 $1,148.28 / $1,501.02 / $3,261.55	Professional		$1,148.28	$1,501.02	$3,261.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,953.14 / $1,953.14 / $37,499.62	Facility		$1,953.14	$1,953.14	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,953.14 / $1,953.14 / $1,953.14	Professional		$1,953.14	$1,953.14	$1,953.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.98 / $1,579.98 / $7,227.90	Facility		$1,579.98	$1,579.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,374.13 / $2,264.23 / $5,026.25	Professional		$1,374.13	$2,264.23	$5,026.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,621.00 / $12,123.16	Facility		$332.00	$2,621.00	$12,123.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,480.20 / $1,973.60 / $2,845.28	Professional		$1,480.20	$1,973.60	$2,845.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $982.48 / $1,326.77 / $2,369.21	Professional		$982.48	$1,326.77	$2,369.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,579.98 / $74,999.25	Facility		$555.00	$1,579.98	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,417.09 / $2,480.69 / $5,026.25	Professional		$1,417.09	$2,480.69	$5,026.25
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 $1,360.19 / $1,789.63 / $4,093.31	Professional		$1,360.19	$1,789.63	$4,093.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,737.75 / $1,737.75 / $5,120.68	Facility		$1,737.75	$1,737.75	$5,120.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $982.48 / $1,984.77 / $3,472.10	Professional		$982.48	$1,984.77	$3,472.10