Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.06 / $4,043.00 / $10,296.00	Facility		$1,116.06	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.01 / $1,251.44 / $2,252.91	Professional		$1,063.01	$1,251.44	$2,252.91
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 $776.26 / $1,014.73 / $2,260.37	Professional		$776.26	$1,014.73	$2,260.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,308.86 / $1,308.86 / $37,499.62	Facility		$1,308.86	$1,308.86	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,308.86 / $1,308.86 / $1,308.86	Professional		$1,308.86	$1,308.86	$1,308.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,069.51 / $1,069.51 / $7,227.90	Facility		$1,069.51	$1,069.51	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.20 / $1,675.21 / $3,452.24	Professional		$949.20	$1,675.21	$3,452.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,560.88 / $3,033.60	Facility		$319.00	$1,560.88	$3,033.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $993.42 / $1,324.56 / $1,909.57	Professional		$993.42	$1,324.56	$1,909.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.83 / $889.38 / $1,586.95	Professional		$690.83	$889.38	$1,586.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,069.51 / $74,999.25	Facility		$555.00	$1,069.51	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $977.01 / $1,644.66 / $3,452.24	Professional		$977.01	$1,644.66	$3,452.24
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 $936.92 / $1,219.53 / $2,877.49	Professional		$936.92	$1,219.53	$2,877.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,163.99 / $1,163.99 / $3,957.17	Facility		$1,163.99	$1,163.99	$3,957.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $690.83 / $1,328.02 / $2,325.69	Professional		$690.83	$1,328.02	$2,325.69