Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.95 / $4,392.00 / $10,686.00	Facility		$1,277.95	$4,392.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.88 / $1,350.24 / $2,860.80	Professional		$1,145.88	$1,350.24	$2,860.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.37 / $1,094.60 / $2,566.77	Professional		$837.37	$1,094.60	$2,566.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,412.67 / $5,064.50 / $15,193.50	Facility		$1,412.67	$5,064.50	$15,193.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,412.67 / $1,412.67 / $1,412.67	Professional		$1,412.67	$1,412.67	$1,412.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,154.83 / $1,154.83 / $7,227.90	Facility		$1,154.83	$1,154.83	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.69 / $1,843.54 / $3,728.02	Professional		$1,049.69	$1,843.54	$3,728.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,375.00 / $5,930.05	Facility		$332.00	$1,375.00	$5,930.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.84 / $1,431.80 / $2,064.17	Professional		$1,073.84	$1,431.80	$2,064.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.70 / $1,052.24 / $1,713.19	Professional		$754.70	$1,052.24	$1,713.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,154.83 / $74,999.25	Facility		$555.00	$1,154.83	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,093.00 / $1,812.30 / $3,728.02	Professional		$1,093.00	$1,812.30	$3,728.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,700.00 / $16,403.00	Facility		$2,444.00	$6,700.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.95 / $1,372.94 / $3,204.06	Professional		$1,031.95	$1,372.94	$3,204.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,256.57 / $1,256.57 / $4,196.02	Facility		$1,256.57	$1,256.57	$4,196.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $754.70 / $1,256.57 / $2,510.69	Professional		$754.70	$1,256.57	$2,510.69