Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,803.05 / $4,910.00 / $11,396.00	Facility		$1,803.05	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,546.17 / $1,994.88 / $3,815.34	Professional		$1,546.17	$1,994.88	$3,815.34
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 $1,312.07 / $1,715.13 / $3,637.78	Professional		$1,312.07	$1,715.13	$3,637.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,207.71 / $2,207.71 / $37,499.62	Facility		$2,207.71	$2,207.71	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,207.71 / $2,207.71 / $2,207.71	Professional		$2,207.71	$2,207.71	$2,207.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,775.23 / $1,775.23 / $7,227.90	Facility		$1,775.23	$1,775.23	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,519.03 / $2,462.17 / $5,735.48	Professional		$1,519.03	$2,462.17	$5,735.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,341.91 / $9,431.37	Facility		$332.00	$2,341.91	$9,431.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,638.06 / $2,184.08 / $3,148.72	Professional		$1,638.06	$2,184.08	$3,148.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.76 / $1,478.62 / $2,507.26	Professional		$827.76	$1,478.62	$2,507.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,775.23 / $74,999.25	Facility		$555.00	$1,775.23	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,603.53 / $2,555.19 / $5,735.48	Professional		$1,603.53	$2,555.19	$5,735.48
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 $1,485.31 / $2,021.40 / $4,780.62	Professional		$1,485.31	$2,021.40	$4,780.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,936.64 / $1,936.64 / $4,622.87	Facility		$1,936.64	$1,936.64	$4,622.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $827.76 / $2,209.91 / $3,826.40	Professional		$827.76	$2,209.91	$3,826.40