Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,178.57 / $4,043.00 / $10,296.00	Facility		$1,178.57	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,057.69 / $1,310.10 / $2,129.90	Professional		$1,057.69	$1,310.10	$2,129.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,538.00	Facility		$4,100.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.17 / $1,064.28 / $2,299.78	Professional		$814.17	$1,064.28	$2,299.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,386.14 / $1,386.14 / $37,499.62	Facility		$1,386.14	$1,386.14	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,386.14 / $1,386.14 / $1,386.14	Professional		$1,386.14	$1,386.14	$1,386.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.54 / $1,115.54 / $7,227.90	Facility		$1,115.54	$1,115.54	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.40 / $1,555.63 / $3,547.78	Professional		$961.40	$1,555.63	$3,547.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,656.00 / $6,832.98	Facility		$332.00	$1,656.00	$6,832.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.50 / $1,390.00 / $2,003.91	Professional		$1,042.50	$1,390.00	$2,003.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.55 / $940.42 / $1,679.31	Professional		$660.55	$940.42	$1,679.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,115.54 / $74,999.25	Facility		$555.00	$1,115.54	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,002.81 / $1,582.07 / $3,547.78	Professional		$1,002.81	$1,582.07	$3,547.78
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 $950.45 / $1,317.13 / $2,941.86	Professional		$950.45	$1,317.13	$2,941.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,231.73 / $1,231.73 / $3,430.88	Facility		$1,231.73	$1,231.73	$3,430.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $660.55 / $1,409.38 / $2,461.04	Professional		$660.55	$1,409.38	$2,461.04