Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,043.00 / $10,296.00	Facility		$1,516.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,371.26 / $1,803.83 / $3,025.25	Professional		$1,371.26	$1,803.83	$3,025.25
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 $1,135.83 / $1,484.75 / $3,167.34	Professional		$1,135.83	$1,484.75	$3,167.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,921.48 / $1,921.48 / $37,499.62	Facility		$1,921.48	$1,921.48	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,921.48 / $1,921.48 / $1,921.48	Professional		$1,921.48	$1,921.48	$1,921.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.05 / $1,544.05 / $7,227.90	Facility		$1,544.05	$1,544.05	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.06 / $2,121.41 / $4,946.18	Professional		$1,313.06	$2,121.41	$4,946.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,335.00 / $9,622.20	Facility		$332.00	$2,335.00	$9,622.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.92 / $1,915.90 / $2,762.08	Professional		$1,436.92	$1,915.90	$2,762.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.93 / $1,294.79 / $2,312.10	Professional		$873.93	$1,294.79	$2,312.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,544.05 / $74,999.25	Facility		$555.00	$1,544.05	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,393.48 / $2,204.66 / $4,946.18	Professional		$1,393.48	$2,204.66	$4,946.18
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 $1,308.06 / $1,761.42 / $4,386.00	Professional		$1,308.06	$1,761.42	$4,386.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,695.86 / $1,695.86 / $4,437.28	Facility		$1,695.86	$1,695.86	$4,437.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $873.93 / $1,939.66 / $3,388.41	Professional		$873.93	$1,939.66	$3,388.41