Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.34 / $4,910.00 / $11,396.00	Facility		$1,492.34	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.62 / $1,669.71 / $3,309.36	Professional		$1,341.62	$1,669.71	$3,309.36
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 $1,035.40 / $1,353.47 / $2,924.07	Professional		$1,035.40	$1,353.47	$2,924.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,756.63 / $1,756.63 / $37,499.62	Facility		$1,756.63	$1,756.63	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,756.63 / $1,756.63 / $1,756.63	Professional		$1,756.63	$1,756.63	$1,756.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,414.58 / $1,414.58 / $7,227.90	Facility		$1,414.58	$1,414.58	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,226.97 / $1,931.88 / $4,518.30	Professional		$1,226.97	$1,931.88	$4,518.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,685.00 / $7,286.37	Facility		$332.00	$1,685.00	$7,286.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.46 / $1,759.28 / $2,536.30	Professional		$1,319.46	$1,759.28	$2,536.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $834.45 / $1,189.41 / $2,123.91	Professional		$834.45	$1,189.41	$2,123.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,414.58 / $74,999.25	Facility		$555.00	$1,414.58	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,274.08 / $2,014.85 / $4,503.35	Professional		$1,274.08	$2,014.85	$4,503.35
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 $1,201.99 / $1,660.57 / $3,883.25	Professional		$1,201.99	$1,660.57	$3,883.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,557.83 / $1,557.83 / $4,349.45	Facility		$1,557.83	$1,557.83	$4,349.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $834.45 / $1,557.83 / $3,112.61	Professional		$834.45	$1,557.83	$3,112.61