Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,317.95 / $4,043.00 / $10,296.00	Facility		$1,317.95	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.03 / $1,448.87 / $2,617.35	Professional		$1,174.03	$1,448.87	$2,617.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $4,960.00 / $11,448.00	Facility		$2,644.00	$4,960.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.62 / $1,192.97 / $2,619.92	Professional		$912.62	$1,192.97	$2,619.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,538.61 / $1,538.61 / $37,499.62	Facility		$1,538.61	$1,538.61	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,538.61 / $1,538.61 / $1,538.61	Professional		$1,538.61	$1,538.61	$1,538.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.43 / $1,273.43 / $7,227.90	Facility		$1,273.43	$1,273.43	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.51 / $1,716.43 / $4,056.72	Professional		$922.51	$1,716.43	$4,056.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,715.00 / $3,035.70	Facility		$319.00	$1,715.00	$3,035.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.28 / $1,619.04 / $2,334.12	Professional		$1,214.28	$1,619.04	$2,334.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.54 / $1,073.34 / $1,916.69	Professional		$720.54	$1,073.34	$1,916.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,273.43 / $74,999.25	Facility		$555.00	$1,273.43	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $942.62 / $1,768.26 / $3,921.32	Professional		$942.62	$1,768.26	$3,921.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.67 / $1,414.91 / $3,305.16	Professional		$1,073.67	$1,414.91	$3,305.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,405.84 / $1,405.84 / $3,666.47	Facility		$1,405.84	$1,405.84	$3,666.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $720.54 / $1,619.47 / $2,808.92	Professional		$720.54	$1,619.47	$2,808.92