Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.71 / $4,043.00 / $10,296.00	Facility		$1,441.71	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,361.53 / $1,609.53 / $2,839.59	Professional		$1,361.53	$1,609.53	$2,839.59
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 $999.47 / $1,306.50 / $2,952.70	Professional		$999.47	$1,306.50	$2,952.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,683.92 / $1,683.92 / $37,499.62	Facility		$1,683.92	$1,683.92	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,683.92 / $1,683.92 / $1,683.92	Professional		$1,683.92	$1,683.92	$1,683.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.84 / $1,377.84 / $7,227.90	Facility		$1,377.84	$1,377.84	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.13 / $2,120.07 / $4,445.41	Professional		$1,252.13	$2,120.07	$4,445.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,975.72 / $3,504.00	Facility		$319.00	$1,975.72	$3,504.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.42 / $1,705.90 / $2,459.33	Professional		$1,279.42	$1,705.90	$2,459.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.28 / $1,175.92 / $2,042.14	Professional		$880.28	$1,175.92	$2,042.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,377.84 / $74,999.25	Facility		$555.00	$1,377.84	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,258.82 / $2,114.25 / $4,445.41	Professional		$1,258.82	$2,114.25	$4,445.41
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 $1,207.38 / $1,595.29 / $3,820.60	Professional		$1,207.38	$1,595.29	$3,820.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,497.86 / $1,497.86 / $4,785.05	Facility		$1,497.86	$1,497.86	$4,785.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $880.28 / $1,709.00 / $2,992.78	Professional		$880.28	$1,709.00	$2,992.78