Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,768.24 / $4,043.00 / $10,296.00	Facility		$1,768.24	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.07 / $2,048.23 / $3,666.72	Professional		$1,640.07	$2,048.23	$3,666.72
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 $1,269.07 / $1,658.92 / $3,594.76	Professional		$1,269.07	$1,658.92	$3,594.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,159.80 / $2,159.80 / $37,499.62	Facility		$2,159.80	$2,159.80	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,159.80 / $2,159.80 / $2,159.80	Professional		$2,159.80	$2,159.80	$2,159.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,744.02 / $1,744.02 / $7,227.90	Facility		$1,744.02	$1,744.02	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,515.13 / $2,593.14 / $5,540.44	Professional		$1,515.13	$2,593.14	$5,540.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,691.86 / $11,554.76	Facility		$332.00	$2,691.86	$11,554.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,615.11 / $2,153.48 / $3,104.61	Professional		$1,615.11	$2,153.48	$3,104.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.86 / $1,462.76 / $2,480.42	Professional		$1,055.86	$1,462.76	$2,480.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,744.02 / $74,999.25	Facility		$555.00	$1,744.02	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,515.13 / $2,516.44 / $5,526.49	Professional		$1,515.13	$2,516.44	$5,526.49
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 $1,533.56 / $2,059.34 / $4,914.32	Professional		$1,533.56	$2,059.34	$4,914.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,915.86 / $1,915.86 / $5,854.53	Facility		$1,915.86	$1,915.86	$5,854.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,055.86 / $2,186.26 / $3,827.97	Professional		$1,055.86	$2,186.26	$3,827.97