Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.66 / $4,043.00 / $10,296.00	Facility		$1,220.66	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,142.57 / $1,356.06 / $2,506.30	Professional		$1,142.57	$1,356.06	$2,506.30
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 $841.33 / $1,099.79 / $2,450.78	Professional		$841.33	$1,099.79	$2,450.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,418.81 / $1,418.81 / $37,499.62	Facility		$1,418.81	$1,418.81	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,418.81 / $1,418.81 / $1,418.81	Professional		$1,418.81	$1,418.81	$1,418.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,159.48 / $1,159.48 / $7,227.90	Facility		$1,159.48	$1,159.48	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.06 / $1,775.51 / $3,745.57	Professional		$1,030.06	$1,775.51	$3,745.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,691.91 / $3,195.20	Facility		$319.00	$1,691.91	$3,195.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,077.38 / $1,436.51 / $2,070.96	Professional		$1,077.38	$1,436.51	$2,070.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.62 / $962.96 / $1,633.20	Professional		$745.62	$962.96	$1,633.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,159.48 / $74,999.25	Facility		$555.00	$1,159.48	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,059.48 / $1,718.63 / $3,745.57	Professional		$1,059.48	$1,718.63	$3,745.57
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 $997.06 / $1,334.88 / $3,219.14	Professional		$997.06	$1,334.88	$3,219.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,261.25 / $1,261.25 / $4,151.39	Facility		$1,261.25	$1,261.25	$4,151.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $745.62 / $1,261.25 / $2,520.03	Professional		$745.62	$1,261.25	$2,520.03