Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.36 / $4,043.00 / $10,296.00	Facility		$1,559.36	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,473.57 / $1,752.93 / $3,214.10	Professional		$1,473.57	$1,752.93	$3,214.10
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 $1,091.13 / $1,426.32 / $3,214.18	Professional		$1,091.13	$1,426.32	$3,214.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,834.75 / $1,834.75 / $37,499.62	Facility		$1,834.75	$1,834.75	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,834.75 / $1,834.75 / $1,834.75	Professional		$1,834.75	$1,834.75	$1,834.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,502.02 / $1,502.02 / $7,227.90	Facility		$1,502.02	$1,502.02	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.44 / $2,278.05 / $4,848.18	Professional		$1,335.44	$2,278.05	$4,848.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,986.00 / $3,489.98	Facility		$319.00	$1,986.00	$3,489.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,395.99 / $1,861.32 / $2,683.40	Professional		$1,395.99	$1,861.32	$2,683.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.37 / $1,256.34 / $2,226.30	Professional		$927.37	$1,256.34	$2,226.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,502.02 / $74,999.25	Facility		$555.00	$1,502.02	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,363.87 / $2,228.01 / $4,848.18	Professional		$1,363.87	$2,228.01	$4,848.18
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 $1,257.33 / $1,792.11 / $4,166.77	Professional		$1,257.33	$1,792.11	$4,166.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,632.93 / $1,632.93 / $4,335.49	Facility		$1,632.93	$1,632.93	$4,335.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $927.37 / $1,864.46 / $3,262.66	Professional		$927.37	$1,864.46	$3,262.66