Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.40 / $4,043.00 / $10,296.00	Facility		$1,431.40	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,297.59 / $1,611.17 / $3,217.32	Professional		$1,297.59	$1,611.17	$3,217.32
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 $1,002.30 / $1,310.20 / $2,873.97	Professional		$1,002.30	$1,310.20	$2,873.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,686.70 / $1,686.70 / $37,499.62	Facility		$1,686.70	$1,686.70	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,686.70 / $1,686.70 / $1,686.70	Professional		$1,686.70	$1,686.70	$1,686.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,379.65 / $1,379.65 / $7,227.90	Facility		$1,379.65	$1,379.65	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.48 / $1,971.00 / $4,459.63	Professional		$1,200.48	$1,971.00	$4,459.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,642.00 / $3,200.29	Facility		$319.00	$1,642.00	$3,200.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,280.11 / $1,706.82 / $2,460.67	Professional		$1,280.11	$1,706.82	$2,460.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.19 / $1,143.97 / $1,939.44	Professional		$817.19	$1,143.97	$1,939.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,379.65 / $74,999.25	Facility		$555.00	$1,379.65	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,255.18 / $1,988.69 / $4,459.63	Professional		$1,255.18	$1,988.69	$4,459.63
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 $1,080.74 / $1,582.90 / $3,562.72	Professional		$1,080.74	$1,582.90	$3,562.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,498.33 / $1,498.33 / $3,807.93	Facility		$1,498.33	$1,498.33	$3,807.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $817.19 / $1,709.43 / $2,993.73	Professional		$817.19	$1,709.43	$2,993.73