Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,187.79 / $4,043.00 / $10,296.00	Facility		$1,187.79	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,089.84 / $1,275.71 / $2,690.21	Professional		$1,089.84	$1,275.71	$2,690.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.54 / $1,034.70 / $2,389.32	Professional		$791.54	$1,034.70	$2,389.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,334.56 / $1,334.56 / $6,213.00	Facility		$1,334.56	$1,334.56	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,334.56 / $1,334.56 / $1,334.56	Professional		$1,334.56	$1,334.56	$1,334.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,090.58 / $1,090.58 / $7,227.90	Facility		$1,090.58	$1,090.58	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $992.34 / $1,732.87 / $3,519.73	Professional		$992.34	$1,732.87	$3,519.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,688.84 / $7,044.10	Facility		$332.00	$1,688.84	$7,044.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.89 / $1,461.08 / $1,947.79	Professional		$1,125.89	$1,461.08	$1,947.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.78 / $952.88 / $1,617.84	Professional		$695.78	$952.88	$1,617.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,090.58 / $74,999.25	Facility		$555.00	$1,090.58	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,703.50 / $3,519.73	Professional		$1,019.70	$1,703.50	$3,519.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $865.82 / $1,233.51 / $2,817.96	Professional		$865.82	$1,233.51	$2,817.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,186.64 / $1,186.64 / $3,929.63	Facility		$1,186.64	$1,186.64	$3,929.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $695.78 / $1,186.64 / $2,370.96	Professional		$695.78	$1,186.64	$2,370.96