Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,633.93 / $4,648.00 / $10,686.00	Facility		$1,633.93	$4,648.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,567.98 / $1,963.73 / $3,485.36	Professional		$1,567.98	$1,963.73	$3,485.36
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 $1,211.35 / $1,583.48 / $3,434.39	Professional		$1,211.35	$1,583.48	$3,434.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,048.96 / $2,048.96 / $37,499.62	Facility		$2,048.96	$2,048.96	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,048.96 / $2,048.96 / $2,048.96	Professional		$2,048.96	$2,048.96	$2,048.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,681.54 / $1,681.54 / $7,227.90	Facility		$1,681.54	$1,681.54	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.78 / $2,348.32 / $5,271.36	Professional		$1,428.78	$2,348.32	$5,271.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,391.07 / $7,763.94	Facility		$332.00	$1,391.07	$7,763.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,405.94 / $1,874.59 / $2,702.54	Professional		$1,405.94	$1,874.59	$2,702.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $969.29 / $1,415.38 / $2,527.44	Professional		$969.29	$1,415.38	$2,527.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,681.54 / $74,999.25	Facility		$555.00	$1,681.54	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,424.81 / $2,341.88 / $5,206.74	Professional		$1,424.81	$2,341.88	$5,206.74
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 $1,380.47 / $1,860.78 / $4,339.89	Professional		$1,380.47	$1,860.78	$4,339.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,853.80 / $1,853.80 / $5,305.61	Facility		$1,853.80	$1,853.80	$5,305.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $969.29 / $1,877.96 / $3,703.98	Professional		$969.29	$1,877.96	$3,703.98