Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.52 / $4,043.00 / $10,296.00	Facility		$1,592.52	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,447.43 / $1,777.85 / $3,318.12	Professional		$1,447.43	$1,777.85	$3,318.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,140.34 / $1,490.66 / $3,247.10	Professional		$1,140.34	$1,490.66	$3,247.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,938.90 / $1,938.90 / $37,499.62	Facility		$1,938.90	$1,938.90	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,938.90 / $1,938.90 / $1,938.90	Professional		$1,938.90	$1,938.90	$1,938.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,569.18 / $1,569.18 / $7,227.90	Facility		$1,569.18	$1,569.18	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,354.51 / $2,270.52 / $5,019.91	Professional		$1,354.51	$2,270.52	$5,019.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,482.00 / $11,372.06	Facility		$332.00	$2,482.00	$11,372.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,469.43 / $1,959.24 / $2,824.57	Professional		$1,469.43	$1,959.24	$2,824.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $932.41 / $1,317.76 / $2,235.62	Professional		$932.41	$1,317.76	$2,235.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,569.18 / $74,999.25	Facility		$555.00	$1,569.18	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,405.44 / $2,388.10 / $5,019.91	Professional		$1,405.44	$2,388.10	$5,019.91
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 $1,392.13 / $1,844.59 / $4,136.85	Professional		$1,392.13	$1,844.59	$4,136.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,725.94 / $1,725.94 / $5,124.25	Facility		$1,725.94	$1,725.94	$5,124.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $932.41 / $1,725.94 / $3,448.51	Professional		$932.41	$1,725.94	$3,448.51