Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,676.99 / $4,043.00 / $10,296.00	Facility		$1,676.99	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,602.69 / $1,897.13 / $3,910.88	Professional		$1,602.69	$1,897.13	$3,910.88
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 $1,178.83 / $1,540.96 / $3,554.70	Professional		$1,178.83	$1,540.96	$3,554.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,985.68 / $1,985.68 / $37,499.62	Facility		$1,985.68	$1,985.68	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,985.68 / $1,985.68 / $1,985.68	Professional		$1,985.68	$1,985.68	$1,985.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,624.49 / $1,624.49 / $7,227.90	Facility		$1,624.49	$1,624.49	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,477.70 / $2,518.36 / $5,252.37	Professional		$1,477.70	$2,518.36	$5,252.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,550.71 / $8,318.64	Facility		$332.00	$1,550.71	$8,318.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,506.39 / $2,008.52 / $2,895.62	Professional		$1,506.39	$2,008.52	$2,895.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.01 / $1,349.66 / $2,405.08	Professional		$1,047.01	$1,349.66	$2,405.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,624.49 / $74,999.25	Facility		$555.00	$1,624.49	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,477.70 / $2,493.92 / $5,252.37	Professional		$1,477.70	$2,493.92	$5,252.37
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 $1,451.10 / $1,908.20 / $4,514.14	Professional		$1,451.10	$1,908.20	$4,514.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,764.06 / $1,764.06 / $5,768.65	Facility		$1,764.06	$1,764.06	$5,768.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.01 / $2,012.05 / $3,524.67	Professional		$1,047.01	$2,012.05	$3,524.67