Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,577.37 / $5,390.10 / $11,547.00	Facility		$1,577.37	$5,390.10	$11,547.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.58 / $1,613.83 / $3,686.56	Professional		$1,258.58	$1,613.83	$3,686.56
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 $1,017.86 / $1,330.54 / $2,885.31	Professional		$1,017.86	$1,330.54	$2,885.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,755.71 / $1,755.71 / $10,957.50	Facility		$1,755.71	$1,755.71	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,755.71 / $1,755.71 / $1,755.71	Professional		$1,755.71	$1,755.71	$1,755.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.12 / $1,407.12 / $7,227.90	Facility		$1,407.12	$1,407.12	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.36 / $1,976.84 / $4,438.12	Professional		$1,198.36	$1,976.84	$4,438.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,877.00 / $7,620.62	Facility		$332.00	$1,877.00	$7,620.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,301.72 / $1,735.63 / $2,502.19	Professional		$1,301.72	$1,735.63	$2,502.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.25 / $1,196.19 / $2,036.77	Professional		$806.25	$1,196.19	$2,036.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,407.12 / $74,999.25	Facility		$555.00	$1,407.12	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,193.21 / $1,976.84 / $4,409.12	Professional		$1,193.21	$1,976.84	$4,409.12
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 $1,204.85 / $1,620.89 / $3,969.09	Professional		$1,204.85	$1,620.89	$3,969.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,566.72 / $1,566.72 / $4,448.01	Facility		$1,566.72	$1,566.72	$4,448.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $806.25 / $1,795.22 / $3,130.37	Professional		$806.25	$1,795.22	$3,130.37