Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.50 / $4,043.00 / $10,296.00	Facility		$1,417.50	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.58 / $1,591.43 / $3,297.09	Professional		$1,310.58	$1,591.43	$3,297.09
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 $985.62 / $1,288.40 / $2,927.26	Professional		$985.62	$1,288.40	$2,927.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,666.74 / $1,666.74 / $37,499.62	Facility		$1,666.74	$1,666.74	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,666.74 / $1,666.74 / $1,666.74	Professional		$1,666.74	$1,666.74	$1,666.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,363.27 / $1,363.27 / $7,227.90	Facility		$1,363.27	$1,363.27	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.10 / $2,100.92 / $4,408.34	Professional		$1,220.10	$2,100.92	$4,408.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,985.07 / $3,568.00	Facility		$319.00	$1,985.07	$3,568.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,264.70 / $1,686.26 / $2,431.03	Professional		$1,264.70	$1,686.26	$2,431.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.20 / $1,132.89 / $2,018.66	Professional		$849.20	$1,132.89	$2,018.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,363.27 / $74,999.25	Facility		$555.00	$1,363.27	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,245.09 / $2,084.04 / $4,408.34	Professional		$1,245.09	$2,084.04	$4,408.34
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 $1,068.19 / $1,525.12 / $3,655.43	Professional		$1,068.19	$1,525.12	$3,655.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,480.64 / $1,480.64 / $4,764.50	Facility		$1,480.64	$1,480.64	$4,764.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $849.20 / $1,480.64 / $2,958.37	Professional		$849.20	$1,480.64	$2,958.37