Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.87 / $4,910.00 / $11,396.00	Facility		$1,614.87	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,492.79 / $1,755.47 / $3,185.57	Professional		$1,492.79	$1,755.47	$3,185.57
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 $1,090.56 / $1,425.58 / $3,115.98	Professional		$1,090.56	$1,425.58	$3,115.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,837.06 / $1,837.06 / $37,499.62	Facility		$1,837.06	$1,837.06	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,837.06 / $1,837.06 / $1,837.06	Professional		$1,837.06	$1,837.06	$1,837.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,502.68 / $1,502.68 / $7,227.90	Facility		$1,502.68	$1,502.68	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,334.66 / $2,304.07 / $4,860.35	Professional		$1,334.66	$2,304.07	$4,860.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,875.00 / $7,702.85	Facility		$332.00	$1,875.00	$7,702.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.88 / $1,859.84 / $2,681.28	Professional		$1,394.88	$1,859.84	$2,681.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $959.79 / $1,246.38 / $2,225.65	Professional		$959.79	$1,246.38	$2,225.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,502.68 / $74,999.25	Facility		$555.00	$1,502.68	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,373.72 / $2,284.00 / $4,860.35	Professional		$1,373.72	$2,284.00	$4,860.35
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 $1,266.02 / $1,751.62 / $4,051.18	Professional		$1,266.02	$1,751.62	$4,051.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,632.46 / $1,632.46 / $5,315.29	Facility		$1,632.46	$1,632.46	$5,315.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $959.79 / $1,862.49 / $3,261.72	Professional		$959.79	$1,862.49	$3,261.72