Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,792.00 / $10,686.00	Facility		$1,516.00	$4,792.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.31 / $1,636.86 / $2,978.07	Professional		$1,364.31	$1,636.86	$2,978.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.27 / $1,332.39 / $3,010.54	Professional		$1,019.27	$1,332.39	$3,010.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,714.27 / $1,714.27 / $8,917.50	Facility		$1,714.27	$1,714.27	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,714.27 / $1,714.27 / $1,714.27	Professional		$1,714.27	$1,714.27	$1,714.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,401.24 / $1,401.24 / $13,296.25	Facility		$1,401.24	$1,401.24	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,247.56 / $2,105.69 / $4,536.04	Professional		$1,247.56	$2,105.69	$4,536.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,039.10 / $3,651.20	Facility		$319.00	$2,039.10	$3,651.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,298.76 / $1,731.68 / $2,496.51	Professional		$1,298.76	$1,731.68	$2,496.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.82 / $1,161.57 / $2,074.21	Professional		$905.82	$1,161.57	$2,074.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,401.24 / $74,999.25	Facility		$555.00	$1,401.24	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,281.10 / $2,022.76 / $4,536.04	Professional		$1,281.10	$2,022.76	$4,536.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,700.00 / $16,403.00	Facility		$2,444.00	$6,700.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,251.65 / $1,606.13 / $3,761.31	Professional		$1,251.65	$1,606.13	$3,761.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,521.38 / $1,521.38 / $4,234.64	Facility		$1,521.38	$1,521.38	$4,234.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $905.82 / $1,734.91 / $3,039.78	Professional		$905.82	$1,734.91	$3,039.78