Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,211.94 / $4,910.00 / $11,396.00	Facility		$1,211.94	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.01 / $1,318.12 / $2,702.74	Professional		$1,116.01	$1,318.12	$2,702.74
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 $815.02 / $1,065.39 / $2,497.90	Professional		$815.02	$1,065.39	$2,497.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,377.95 / $1,377.95 / $37,499.62	Facility		$1,377.95	$1,377.95	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,377.95 / $1,377.95 / $1,377.95	Professional		$1,377.95	$1,377.95	$1,377.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.00 / $1,126.00 / $7,227.90	Facility		$1,126.00	$1,126.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.63 / $1,751.15 / $3,631.01	Professional		$1,024.63	$1,751.15	$3,631.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,728.00 / $7,222.74	Facility		$332.00	$1,728.00	$7,222.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.11 / $1,396.16 / $2,012.80	Professional		$1,047.11	$1,396.16	$2,012.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.09 / $986.75 / $1,671.56	Professional		$732.09	$986.75	$1,671.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,126.00 / $74,999.25	Facility		$555.00	$1,126.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,052.47 / $1,747.42 / $3,631.01	Professional		$1,052.47	$1,747.42	$3,631.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $983.16 / $1,312.36 / $2,934.77	Professional		$983.16	$1,312.36	$2,934.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,226.04 / $1,226.04 / $3,946.76	Facility		$1,226.04	$1,226.04	$3,946.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $732.09 / $1,226.04 / $2,449.67	Professional		$732.09	$1,226.04	$2,449.67