Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.61 / $4,043.00 / $10,296.00	Facility		$1,442.61	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,344.61 / $1,623.75 / $2,949.29	Professional		$1,344.61	$1,623.75	$2,949.29
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 $1,005.32 / $1,314.15 / $2,936.57	Professional		$1,005.32	$1,314.15	$2,936.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,699.97 / $1,699.97 / $37,499.62	Facility		$1,699.97	$1,699.97	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,699.97 / $1,699.97 / $1,699.97	Professional		$1,699.97	$1,699.97	$1,699.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.42 / $1,390.42 / $7,227.90	Facility		$1,390.42	$1,390.42	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.04 / $2,141.73 / $4,493.20	Professional		$1,237.04	$2,141.73	$4,493.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,023.93 / $3,633.60	Facility		$319.00	$2,023.93	$3,633.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,289.11 / $1,718.82 / $2,477.96	Professional		$1,289.11	$1,718.82	$2,477.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.35 / $1,156.96 / $2,058.73	Professional		$866.35	$1,156.96	$2,058.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,390.42 / $74,999.25	Facility		$555.00	$1,390.42	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,265.16 / $2,026.30 / $4,493.20	Professional		$1,265.16	$2,026.30	$4,493.20
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 $1,195.72 / $1,579.88 / $3,627.10	Professional		$1,195.72	$1,579.88	$3,627.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,510.02 / $1,510.02 / $4,858.92	Facility		$1,510.02	$1,510.02	$4,858.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $866.35 / $1,721.99 / $3,017.09	Professional		$866.35	$1,721.99	$3,017.09