Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,632.62 / $5,960.00 / $11,996.00	Facility		$1,632.62	$5,960.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.75 / $974.76 / $2,056.96	Professional		$974.75	$974.76	$2,056.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,116.19 / $1,544.78 / $2,584.09	Professional		$1,116.19	$1,544.78	$2,584.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,005.94 / $3,410.50 / $37,499.62	Facility		$2,005.94	$3,410.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,005.94 / $2,005.94 / $2,005.94	Professional		$2,005.94	$2,005.94	$2,005.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.52 / $1,698.52 / $7,227.90	Facility		$1,698.52	$1,698.52	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,516.33 / $2,551.54 / $5,229.60	Professional		$1,516.33	$2,551.54	$5,229.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,903.76 / $46,576.00	Facility		$319.00	$1,903.76	$46,576.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.99 / $1,976.98 / $3,177.81	Professional		$1,317.99	$1,976.98	$3,177.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.21 / $1,528.10 / $2,655.44	Professional		$1,076.21	$1,528.10	$2,655.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,698.52 / $74,999.25	Facility		$555.00	$1,698.52	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,826.92 / $2,052.73 / $4,766.83	Professional		$1,826.92	$2,052.73	$4,766.83
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 $1,268.42 / $1,757.32 / $3,458.50	Professional		$1,268.42	$1,757.32	$3,458.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,947.69 / $1,947.69 / $3,075.64	Facility		$1,947.69	$1,947.69	$3,075.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,209.40 / $1,947.69 / $3,075.64	Professional		$1,209.40	$1,947.69	$3,075.64