Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,238.52 / $4,043.00 / $10,296.00	Facility		$1,238.52	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,111.67 / $1,324.93 / $2,559.48	Professional		$1,111.67	$1,324.93	$2,559.48
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 $857.17 / $1,120.49 / $2,412.37	Professional		$857.17	$1,120.49	$2,412.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,444.64 / $1,444.64 / $37,499.62	Facility		$1,444.64	$1,444.64	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,444.64 / $1,444.64 / $1,444.64	Professional		$1,444.64	$1,444.64	$1,444.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,182.05 / $1,182.05 / $7,227.90	Facility		$1,182.05	$1,182.05	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.50 / $1,649.71 / $3,807.98	Professional		$1,026.50	$1,649.71	$3,807.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,656.00 / $2,746.26	Facility		$319.00	$1,656.00	$2,746.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,098.50 / $1,464.67 / $2,111.57	Professional		$1,098.50	$1,464.67	$2,111.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.49 / $982.05 / $1,753.64	Professional		$638.49	$982.05	$1,753.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,182.05 / $74,999.25	Facility		$555.00	$1,182.05	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,051.83 / $1,698.10 / $3,807.98	Professional		$1,051.83	$1,698.10	$3,807.98
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 $989.70 / $1,346.28 / $3,157.61	Professional		$989.70	$1,346.28	$3,157.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,286.25 / $1,286.25 / $3,511.55	Facility		$1,286.25	$1,286.25	$3,511.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $638.49 / $1,467.58 / $2,569.96	Professional		$638.49	$1,467.58	$2,569.96