Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.45 / $4,043.00 / $10,296.00	Facility		$1,640.45	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.65 / $1,864.57 / $3,726.19	Professional		$1,584.65	$1,864.57	$3,726.19
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 $1,161.84 / $1,518.77 / $3,380.72	Professional		$1,161.84	$1,518.77	$3,380.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,953.26 / $1,953.26 / $37,499.62	Facility		$1,953.26	$1,953.26	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,953.26 / $1,953.26 / $1,953.26	Professional		$1,953.26	$1,953.26	$1,953.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,595.21 / $1,595.21 / $7,227.90	Facility		$1,595.21	$1,595.21	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,422.51 / $2,397.14 / $5,171.08	Professional		$1,422.51	$2,397.14	$5,171.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,904.00 / $3,699.54	Facility		$319.00	$1,904.00	$3,699.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.82 / $1,973.09 / $2,844.54	Professional		$1,479.82	$1,973.09	$2,844.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,021.44 / $1,334.37 / $2,242.09	Professional		$1,021.44	$1,334.37	$2,242.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,595.21 / $74,999.25	Facility		$555.00	$1,595.21	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,459.36 / $2,374.08 / $5,171.08	Professional		$1,459.36	$2,374.08	$5,171.08
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 $1,332.69 / $1,807.26 / $4,287.89	Professional		$1,332.69	$1,807.26	$4,287.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,731.99 / $1,731.99 / $4,649.30	Facility		$1,731.99	$1,731.99	$4,649.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,021.44 / $1,976.19 / $3,460.58	Professional		$1,021.44	$1,976.19	$3,460.58