Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.00 / $4,910.00 / $11,396.00	Facility		$1,548.00	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,413.16 / $1,761.12 / $3,188.21	Professional		$1,413.16	$1,761.12	$3,188.21
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 $1,100.75 / $1,438.89 / $3,119.04	Professional		$1,100.75	$1,438.89	$3,119.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,852.26 / $1,852.26 / $37,499.62	Facility		$1,852.26	$1,852.26	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,852.26 / $1,852.26 / $1,852.26	Professional		$1,852.26	$1,852.26	$1,852.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,490.36 / $1,490.36 / $7,227.90	Facility		$1,490.36	$1,490.36	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.12 / $2,232.76 / $4,790.92	Professional		$1,326.12	$2,232.76	$4,790.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,304.65 / $10,028.20	Facility		$332.00	$2,304.65	$10,028.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,382.79 / $1,843.72 / $2,658.02	Professional		$1,382.79	$1,843.72	$2,658.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.46 / $1,245.40 / $2,223.91	Professional		$915.46	$1,245.40	$2,223.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,490.36 / $74,999.25	Facility		$555.00	$1,490.36	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,346.02 / $2,211.30 / $4,790.92	Professional		$1,346.02	$2,211.30	$4,790.92
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 $1,322.30 / $1,738.49 / $3,972.67	Professional		$1,322.30	$1,738.49	$3,972.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,631.18 / $1,631.18 / $5,000.67	Facility		$1,631.18	$1,631.18	$5,000.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $915.46 / $1,865.59 / $3,259.16	Professional		$915.46	$1,865.59	$3,259.16