Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.12 / $4,043.00 / $10,296.00	Facility		$1,548.12	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,474.52 / $1,748.37 / $3,592.97	Professional		$1,474.52	$1,748.37	$3,592.97
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 $1,086.32 / $1,420.03 / $3,209.00	Professional		$1,086.32	$1,420.03	$3,209.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,830.42 / $1,830.42 / $37,499.62	Facility		$1,830.42	$1,830.42	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,830.42 / $1,830.42 / $1,830.42	Professional		$1,830.42	$1,830.42	$1,830.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,496.93 / $1,496.93 / $7,227.90	Facility		$1,496.93	$1,496.93	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,360.95 / $2,306.85 / $4,835.89	Professional		$1,360.95	$2,306.85	$4,835.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,612.00 / $3,473.96	Facility		$319.00	$1,612.00	$3,473.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.58 / $1,852.78 / $2,671.09	Professional		$1,389.58	$1,852.78	$2,671.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.72 / $1,361.84 / $2,105.65	Professional		$962.72	$1,361.84	$2,105.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,496.93 / $74,999.25	Facility		$555.00	$1,496.93	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,336.18 / $2,305.38 / $4,835.89	Professional		$1,336.18	$2,305.38	$4,835.89
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 $1,268.63 / $1,718.65 / $3,920.39	Professional		$1,268.63	$1,718.65	$3,920.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,626.60 / $1,626.60 / $5,212.89	Facility		$1,626.60	$1,626.60	$5,212.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $962.72 / $1,855.93 / $3,250.01	Professional		$962.72	$1,855.93	$3,250.01