Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,613.42 / $4,910.00 / $11,396.00	Facility		$1,613.42	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,535.49 / $1,911.13 / $3,409.02	Professional		$1,535.49	$1,911.13	$3,409.02
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 $1,186.18 / $1,550.57 / $3,313.90	Professional		$1,186.18	$1,550.57	$3,313.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,011.58 / $2,011.58 / $37,499.62	Facility		$2,011.58	$2,011.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,011.58 / $2,011.58 / $2,011.58	Professional		$2,011.58	$2,011.58	$2,011.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,619.14 / $1,619.14 / $7,227.90	Facility		$1,619.14	$1,619.14	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.36 / $2,223.69 / $5,170.74	Professional		$1,405.36	$2,223.69	$5,170.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,155.00 / $8,749.29	Facility		$332.00	$2,155.00	$8,749.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,507.85 / $2,010.47 / $2,898.42	Professional		$1,507.85	$2,010.47	$2,898.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $959.65 / $1,359.74 / $2,428.07	Professional		$959.65	$1,359.74	$2,428.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,619.14 / $74,999.25	Facility		$555.00	$1,619.14	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,459.23 / $2,305.79 / $5,170.74	Professional		$1,459.23	$2,305.79	$5,170.74
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 $1,355.82 / $1,889.84 / $4,309.88	Professional		$1,355.82	$1,889.84	$4,309.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,780.92 / $1,780.92 / $4,944.93	Facility		$1,780.92	$1,780.92	$4,944.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $959.65 / $1,780.92 / $3,558.36	Professional		$959.65	$1,780.92	$3,558.36