Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.89 / $4,043.00 / $10,296.00	Facility		$1,161.89	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.38 / $1,306.36 / $2,463.19	Professional		$1,109.38	$1,306.36	$2,463.19
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 $809.65 / $1,058.36 / $2,418.63	Professional		$809.65	$1,058.36	$2,418.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,364.60 / $1,364.60 / $37,499.62	Facility		$1,364.60	$1,364.60	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,364.60 / $1,364.60 / $1,364.60	Professional		$1,364.60	$1,364.60	$1,364.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.42 / $1,116.42 / $7,227.90	Facility		$1,116.42	$1,116.42	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.91 / $1,754.60 / $3,594.37	Professional		$1,014.91	$1,754.60	$3,594.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,634.26 / $3,024.00	Facility		$319.00	$1,634.26	$3,024.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,386.67 / $1,999.12	Professional		$1,040.00	$1,386.67	$1,999.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.83 / $1,034.71 / $1,659.19	Professional		$702.83	$1,034.71	$1,659.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,116.42 / $74,999.25	Facility		$555.00	$1,116.42	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,021.57 / $1,754.60 / $3,594.37	Professional		$1,021.57	$1,754.60	$3,594.37
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 $998.23 / $1,287.88 / $2,980.48	Professional		$998.23	$1,287.88	$2,980.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,216.97 / $1,216.97 / $3,955.17	Facility		$1,216.97	$1,216.97	$3,955.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $702.83 / $1,390.46 / $2,431.56	Professional		$702.83	$1,390.46	$2,431.56