Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,347.42 / $4,043.00 / $10,296.00	Facility		$1,347.42	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,276.49 / $1,508.01 / $2,788.60	Professional		$1,276.49	$1,508.01	$2,788.60
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 $938.37 / $1,226.63 / $2,799.14	Professional		$938.37	$1,226.63	$2,799.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,579.52 / $1,579.52 / $37,499.62	Facility		$1,579.52	$1,579.52	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,579.52 / $1,579.52 / $1,579.52	Professional		$1,579.52	$1,579.52	$1,579.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,291.21 / $1,291.21 / $7,227.90	Facility		$1,291.21	$1,291.21	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.61 / $1,988.14 / $4,177.77	Professional		$1,148.61	$1,988.14	$4,177.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,882.12 / $3,408.00	Facility		$319.00	$1,882.12	$3,408.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.83 / $1,599.79 / $2,306.37	Professional		$1,199.83	$1,599.79	$2,306.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.77 / $1,077.02 / $1,816.81	Professional		$827.77	$1,077.02	$1,816.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,291.21 / $74,999.25	Facility		$555.00	$1,291.21	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,179.83 / $1,916.84 / $4,177.77	Professional		$1,179.83	$1,916.84	$4,177.77
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 $1,079.90 / $1,503.59 / $3,336.86	Professional		$1,079.90	$1,503.59	$3,336.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,402.34 / $1,402.34 / $4,530.10	Facility		$1,402.34	$1,402.34	$4,530.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $827.77 / $1,601.34 / $2,801.94	Professional		$827.77	$1,601.34	$2,801.94