Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.90 / $4,043.00 / $10,296.00	Facility		$1,441.90	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,367.92 / $1,622.51 / $2,944.15	Professional		$1,367.92	$1,622.51	$2,944.15
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 $1,007.39 / $1,316.86 / $3,012.20	Professional		$1,007.39	$1,316.86	$3,012.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,697.23 / $1,697.23 / $37,499.62	Facility		$1,697.23	$1,697.23	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,697.23 / $1,697.23 / $1,697.23	Professional		$1,697.23	$1,697.23	$1,697.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,388.34 / $1,388.34 / $7,227.90	Facility		$1,388.34	$1,388.34	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.86 / $2,142.82 / $4,481.00	Professional		$1,232.86	$2,142.82	$4,481.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,023.91 / $3,611.20	Facility		$319.00	$2,023.91	$3,611.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.89 / $1,718.52 / $2,477.53	Professional		$1,288.89	$1,718.52	$2,477.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $883.87 / $1,152.33 / $1,953.68	Professional		$883.87	$1,152.33	$1,953.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,388.34 / $74,999.25	Facility		$555.00	$1,388.34	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,269.30 / $2,123.59 / $4,481.00	Professional		$1,269.30	$2,123.59	$4,481.00
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 $1,166.33 / $1,619.01 / $3,553.68	Professional		$1,166.33	$1,619.01	$3,553.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,509.27 / $1,509.27 / $4,797.35	Facility		$1,509.27	$1,509.27	$4,797.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $883.87 / $1,721.98 / $3,015.58	Professional		$883.87	$1,721.98	$3,015.58