Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,465.86 / $4,043.00 / $10,296.00	Facility		$1,465.86	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,649.15 / $2,769.41	Professional		$1,380.10	$1,649.15	$2,769.41
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 $1,021.54 / $1,335.35 / $2,977.46	Professional		$1,021.54	$1,335.35	$2,977.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,725.22 / $1,725.22 / $37,499.62	Facility		$1,725.22	$1,725.22	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,725.22 / $1,725.22 / $1,725.22	Professional		$1,725.22	$1,725.22	$1,725.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,410.61 / $1,410.61 / $7,227.90	Facility		$1,410.61	$1,410.61	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.38 / $2,170.91 / $4,550.32	Professional		$1,250.38	$2,170.91	$4,550.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,056.32 / $3,795.20	Facility		$319.00	$2,056.32	$3,795.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,309.77 / $1,746.36 / $2,517.67	Professional		$1,309.77	$1,746.36	$2,517.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $888.90 / $1,170.91 / $1,984.97	Professional		$888.90	$1,170.91	$1,984.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,410.61 / $74,999.25	Facility		$555.00	$1,410.61	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,287.33 / $2,111.02 / $4,550.32	Professional		$1,287.33	$2,111.02	$4,550.32
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 $1,213.15 / $1,606.78 / $3,792.76	Professional		$1,213.15	$1,606.78	$3,792.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,533.61 / $1,533.61 / $4,772.08	Facility		$1,533.61	$1,533.61	$4,772.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $888.90 / $1,749.56 / $3,064.21	Professional		$888.90	$1,749.56	$3,064.21