Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.96 / $4,910.00 / $11,396.00	Facility		$1,453.96	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.89 / $1,672.25 / $3,008.23	Professional		$1,342.89	$1,672.25	$3,008.23
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 $1,034.27 / $1,351.99 / $2,954.49	Professional		$1,034.27	$1,351.99	$2,954.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,752.10 / $1,752.10 / $37,499.62	Facility		$1,752.10	$1,752.10	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,752.10 / $1,752.10 / $1,752.10	Professional		$1,752.10	$1,752.10	$1,752.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.44 / $1,427.44 / $7,227.90	Facility		$1,427.44	$1,427.44	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.96 / $2,099.61 / $4,590.25	Professional		$1,245.96	$2,099.61	$4,590.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,073.44 / $8,749.29	Facility		$332.00	$2,073.44	$8,749.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,244.06 / $1,658.75 / $2,391.36	Professional		$1,244.06	$1,658.75	$2,391.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.57 / $1,192.26 / $2,129.02	Professional		$857.57	$1,192.26	$2,129.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,427.44 / $74,999.25	Facility		$555.00	$1,427.44	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,273.66 / $2,059.61 / $4,562.95	Professional		$1,273.66	$2,059.61	$4,562.95
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 $1,203.28 / $1,617.20 / $3,806.28	Professional		$1,203.28	$1,617.20	$3,806.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,561.58 / $1,561.58 / $4,744.51	Facility		$1,561.58	$1,561.58	$4,744.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $857.57 / $1,661.74 / $3,120.10	Professional		$857.57	$1,661.74	$3,120.10