Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.59 / $4,043.00 / $10,296.00	Facility		$1,494.59	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,421.60 / $1,682.40 / $3,066.23	Professional		$1,421.60	$1,682.40	$3,066.23
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 $1,047.00 / $1,368.63 / $3,116.80	Professional		$1,047.00	$1,368.63	$3,116.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,760.59 / $1,760.59 / $37,499.62	Facility		$1,760.59	$1,760.59	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,760.59 / $1,760.59 / $1,760.59	Professional		$1,760.59	$1,760.59	$1,760.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.19 / $1,440.19 / $7,227.90	Facility		$1,440.19	$1,440.19	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.94 / $2,150.66 / $4,660.35	Professional		$1,281.94	$2,150.66	$4,660.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,063.73 / $3,343.16	Facility		$319.00	$2,063.73	$3,343.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,337.27 / $1,783.02 / $2,570.52	Professional		$1,337.27	$1,783.02	$2,570.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.91 / $1,241.81 / $2,132.06	Professional		$905.91	$1,241.81	$2,132.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,440.19 / $74,999.25	Facility		$555.00	$1,440.19	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,312.29 / $2,139.55 / $4,660.35	Professional		$1,312.29	$2,139.55	$4,660.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,203.84 / $1,693.20 / $3,884.48	Professional		$1,203.84	$1,693.20	$3,884.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,563.81 / $1,563.81 / $4,358.93	Facility		$1,563.81	$1,563.81	$4,358.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $905.91 / $1,785.13 / $3,124.56	Professional		$905.91	$1,785.13	$3,124.56