Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.49 / $4,043.00 / $10,296.00	Facility		$1,594.49	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,518.71 / $1,908.62 / $3,244.36	Professional		$1,518.71	$1,908.62	$3,244.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,538.00	Facility		$4,100.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,190.43 / $1,556.12 / $3,354.18	Professional		$1,190.43	$1,556.12	$3,354.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,002.65 / $2,002.65 / $37,499.62	Facility		$2,002.65	$2,002.65	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,002.65 / $2,002.65 / $2,002.65	Professional		$2,002.65	$2,002.65	$2,002.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,612.20 / $1,612.20 / $7,227.90	Facility		$1,612.20	$1,612.20	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,422.95 / $2,299.00 / $5,147.97	Professional		$1,422.95	$2,299.00	$5,147.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,506.00 / $11,562.88	Facility		$332.00	$2,506.00	$11,562.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.86 / $2,001.14 / $2,884.98	Professional		$1,500.86	$2,001.14	$2,884.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.26 / $1,353.97 / $2,417.78	Professional		$976.26	$1,353.97	$2,417.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,612.20 / $74,999.25	Facility		$555.00	$1,612.20	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,452.21 / $2,299.00 / $5,147.97	Professional		$1,452.21	$2,299.00	$5,147.97
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 $1,393.89 / $1,872.28 / $4,566.21	Professional		$1,393.89	$1,872.28	$4,566.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,773.38 / $1,773.38 / $5,139.05	Facility		$1,773.38	$1,773.38	$5,139.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $976.26 / $2,027.43 / $3,543.29	Professional		$976.26	$2,027.43	$3,543.29