Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.32 / $4,043.00 / $10,296.00	Facility		$1,314.32	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,279.13 / $1,479.58 / $2,928.85	Professional		$1,279.13	$1,479.58	$2,928.85
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 $920.54 / $1,203.33 / $2,775.02	Professional		$920.54	$1,203.33	$2,775.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,549.92 / $1,549.92 / $37,499.62	Facility		$1,549.92	$1,549.92	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,549.92 / $1,549.92 / $1,549.92	Professional		$1,549.92	$1,549.92	$1,549.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.77 / $1,266.77 / $7,227.90	Facility		$1,266.77	$1,266.77	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,152.15 / $1,996.86 / $4,097.99	Professional		$1,152.15	$1,996.86	$4,097.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,844.91 / $3,424.00	Facility		$319.00	$1,844.91	$3,424.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,175.31 / $1,567.08 / $2,259.21	Professional		$1,175.31	$1,567.08	$2,259.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $824.25 / $1,159.33 / $1,875.89	Professional		$824.25	$1,159.33	$1,875.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,266.77 / $74,999.25	Facility		$555.00	$1,266.77	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,158.28 / $1,945.79 / $4,097.99	Professional		$1,158.28	$1,945.79	$4,097.99
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 $1,058.56 / $1,477.22 / $3,598.28	Professional		$1,058.56	$1,477.22	$3,598.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,375.91 / $1,375.91 / $4,568.58	Facility		$1,375.91	$1,375.91	$4,568.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $824.25 / $1,569.69 / $2,749.14	Professional		$824.25	$1,569.69	$2,749.14