Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.95 / $4,043.00 / $10,296.00	Facility		$1,241.95	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.60 / $1,350.10 / $2,543.15	Professional		$1,154.60	$1,350.10	$2,543.15
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 $894.23 / $1,168.94 / $2,506.73	Professional		$894.23	$1,168.94	$2,506.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,413.48 / $1,413.48 / $37,499.62	Facility		$1,413.48	$1,413.48	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,413.48 / $1,413.48 / $1,413.48	Professional		$1,413.48	$1,413.48	$1,413.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,155.10 / $1,155.10 / $7,227.90	Facility		$1,155.10	$1,155.10	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.23 / $1,815.35 / $3,733.31	Professional		$1,051.23	$1,815.35	$3,733.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,683.53 / $3,080.00	Facility		$319.00	$1,683.53	$3,080.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.16 / $1,429.55 / $2,060.92	Professional		$1,072.16	$1,429.55	$2,060.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.03 / $996.61 / $1,711.45	Professional		$748.03	$996.61	$1,711.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,155.10 / $74,999.25	Facility		$555.00	$1,155.10	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,057.78 / $1,775.02 / $3,733.31	Professional		$1,057.78	$1,775.02	$3,733.31
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 $1,032.64 / $1,357.65 / $3,208.59	Professional		$1,032.64	$1,357.65	$3,208.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,255.30 / $1,255.30 / $4,101.33	Facility		$1,255.30	$1,255.30	$4,101.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $748.03 / $1,432.38 / $2,508.15	Professional		$748.03	$1,432.38	$2,508.15