Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $4,043.00 / $10,296.00	Facility		$1,821.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,844.05 / $2,189.76 / $3,682.00	Professional		$1,844.05	$2,189.76	$3,682.00
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 $1,418.44 / $1,854.18 / $4,078.85	Professional		$1,418.44	$1,854.18	$4,078.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,293.71 / $2,293.71 / $37,499.62	Facility		$2,293.71	$2,293.71	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,293.71 / $2,293.71 / $2,293.71	Professional		$2,293.71	$2,293.71	$2,293.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,875.01 / $1,875.01 / $7,227.90	Facility		$1,875.01	$1,875.01	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,706.28 / $2,758.91 / $6,074.48	Professional		$1,706.28	$2,758.91	$6,074.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,729.26 / $4,990.39	Facility		$319.00	$2,729.26	$4,990.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,738.85 / $2,318.46 / $3,342.45	Professional		$1,738.85	$2,318.46	$3,342.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,173.15 / $1,607.60 / $2,774.97	Professional		$1,173.15	$1,607.60	$2,774.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,875.01 / $74,999.25	Facility		$555.00	$1,875.01	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,713.70 / $2,708.80 / $6,074.48	Professional		$1,713.70	$2,708.80	$6,074.48
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 $1,590.97 / $2,199.91 / $5,063.17	Professional		$1,590.97	$2,199.91	$5,063.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,035.36 / $2,035.36 / $5,460.70	Facility		$2,035.36	$2,035.36	$5,460.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,173.15 / $2,322.11 / $4,066.74	Professional		$1,173.15	$2,322.11	$4,066.74