Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.04 / $5,164.00 / $11,996.00	Facility		$1,268.04	$5,164.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.20 / $1,426.79 / $2,606.71	Professional		$1,112.20	$1,426.79	$2,606.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $885.46 / $1,157.47 / $2,499.41	Professional		$885.46	$1,157.47	$2,499.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,492.92 / $1,492.92 / $8,917.50	Facility		$1,492.92	$1,492.92	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,492.92 / $1,492.92 / $1,492.92	Professional		$1,492.92	$1,492.92	$1,492.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,220.38 / $1,220.38 / $7,227.90	Facility		$1,220.38	$1,220.38	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.50 / $1,832.01 / $3,938.03	Professional		$1,035.50	$1,832.01	$3,938.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,121.54 / $6,256.24	Facility		$332.00	$1,121.54	$6,256.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.92 / $1,510.56 / $2,177.71	Professional		$1,132.92	$1,510.56	$2,177.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.47 / $1,099.59 / $1,809.76	Professional		$700.47	$1,099.59	$1,809.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $74,999.25	Facility		$555.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,035.50 / $1,717.40 / $3,925.48	Professional		$1,035.50	$1,717.40	$3,925.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.65 / $1,401.93 / $3,282.41	Professional		$1,011.65	$1,401.93	$3,282.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,327.41 / $1,327.41 / $3,215.82	Facility		$1,327.41	$1,327.41	$3,215.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $700.47 / $1,514.04 / $2,652.22	Professional		$700.47	$1,514.04	$2,652.22