Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.79 / $4,043.00 / $10,296.00	Facility		$1,528.79	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.56 / $1,736.46 / $3,065.20	Professional		$1,469.56	$1,736.46	$3,065.20
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 $1,078.68 / $1,410.05 / $3,140.04	Professional		$1,078.68	$1,410.05	$3,140.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,817.49 / $1,817.49 / $37,499.62	Facility		$1,817.49	$1,817.49	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,817.49 / $1,817.49 / $1,817.49	Professional		$1,817.49	$1,817.49	$1,817.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,485.70 / $1,485.70 / $7,227.90	Facility		$1,485.70	$1,485.70	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,320.46 / $2,291.21 / $4,800.30	Professional		$1,320.46	$2,291.21	$4,800.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,091.00 / $3,450.29	Facility		$319.00	$2,091.00	$3,450.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.11 / $1,840.15 / $2,652.89	Professional		$1,380.11	$1,840.15	$2,652.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $950.04 / $1,232.70 / $2,090.92	Professional		$950.04	$1,232.70	$2,090.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,485.70 / $74,999.25	Facility		$555.00	$1,485.70	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,320.46 / $2,289.98 / $4,800.30	Professional		$1,320.46	$2,289.98	$4,800.30
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 $1,258.64 / $1,706.80 / $4,125.63	Professional		$1,258.64	$1,706.80	$4,125.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,614.54 / $1,614.54 / $5,174.31	Facility		$1,614.54	$1,614.54	$5,174.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $950.04 / $1,842.95 / $3,225.92	Professional		$950.04	$1,842.95	$3,225.92