Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.36 / $4,043.00 / $10,296.00	Facility		$1,668.36	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,552.22 / $1,938.36 / $3,832.79	Professional		$1,552.22	$1,938.36	$3,832.79
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 $1,199.48 / $1,567.95 / $3,404.58	Professional		$1,199.48	$1,567.95	$3,404.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,033.16 / $2,033.16 / $37,499.62	Facility		$2,033.16	$2,033.16	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,033.16 / $2,033.16 / $2,033.16	Professional		$2,033.16	$2,033.16	$2,033.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,637.34 / $1,637.34 / $7,227.90	Facility		$1,637.34	$1,637.34	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,424.57 / $2,353.50 / $5,225.17	Professional		$1,424.57	$2,353.50	$5,225.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,025.00 / $8,425.69	Facility		$332.00	$2,025.00	$8,425.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,525.78 / $2,034.37 / $2,932.89	Professional		$1,525.78	$2,034.37	$2,932.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $978.00 / $1,375.78 / $2,456.71	Professional		$978.00	$1,375.78	$2,456.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,637.34 / $74,999.25	Facility		$555.00	$1,637.34	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,474.70 / $2,353.50 / $5,225.17	Professional		$1,474.70	$2,353.50	$5,225.17
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 $1,388.98 / $1,864.86 / $4,490.77	Professional		$1,388.98	$1,864.86	$4,490.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,801.94 / $1,801.94 / $5,306.98	Facility		$1,801.94	$1,801.94	$5,306.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $978.00 / $2,060.76 / $3,600.35	Professional		$978.00	$2,060.76	$3,600.35