Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.06 / $4,043.00 / $10,296.00	Facility		$1,161.06	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.81 / $1,306.78 / $2,809.38	Professional		$1,106.81	$1,306.78	$2,809.38
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 $809.93 / $1,058.74 / $2,363.67	Professional		$809.93	$1,058.74	$2,363.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,366.47 / $1,366.47 / $37,499.62	Facility		$1,366.47	$1,366.47	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,366.47 / $1,366.47 / $1,366.47	Professional		$1,366.47	$1,366.47	$1,366.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,117.19 / $1,117.19 / $7,227.90	Facility		$1,117.19	$1,117.19	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.65 / $1,733.76 / $3,607.59	Professional		$991.65	$1,733.76	$3,607.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,630.77 / $3,190.40	Facility		$319.00	$1,630.77	$3,190.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.43 / $1,384.57 / $1,996.09	Professional		$1,038.43	$1,384.57	$1,996.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.71 / $928.05 / $1,574.18	Professional		$721.71	$928.05	$1,574.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,117.19 / $74,999.25	Facility		$555.00	$1,117.19	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,020.76 / $1,654.39 / $3,607.59	Professional		$1,020.76	$1,654.39	$3,607.59
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 $960.48 / $1,285.92 / $3,100.54	Professional		$960.48	$1,285.92	$3,100.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,215.51 / $1,215.51 / $4,154.07	Facility		$1,215.51	$1,215.51	$4,154.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $721.71 / $1,387.49 / $2,428.65	Professional		$721.71	$1,387.49	$2,428.65