Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,842.11 / $4,452.00 / $10,024.00	Facility		$1,842.11	$4,452.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,768.13 / $2,284.57 / $3,932.70	Professional		$1,768.13	$2,284.57	$3,932.70
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 $1,178.09 / $1,540.00 / $4,029.41	Professional		$1,178.09	$1,540.00	$4,029.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,428.10 / $2,428.10 / $13,477.50	Facility		$2,428.10	$2,428.10	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,428.10 / $2,428.10 / $2,428.10	Professional		$2,428.10	$2,428.10	$2,428.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,963.00 / $1,963.00 / $7,227.90	Facility		$1,963.00	$1,963.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,448.07 / $2,736.03 / $6,352.85	Professional		$1,448.07	$2,736.03	$6,352.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,411.00 / $4,621.59	Facility		$319.00	$2,411.00	$4,621.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,848.64 / $2,464.85 / $3,553.49	Professional		$1,848.64	$2,464.85	$3,553.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.46 / $1,647.36 / $2,799.30	Professional		$847.46	$1,647.36	$2,799.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,963.00 / $74,999.25	Facility		$555.00	$1,963.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,477.06 / $2,719.89 / $5,876.21	Professional		$1,477.06	$2,719.89	$5,876.21
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 $1,740.90 / $2,282.69 / $5,416.16	Professional		$1,740.90	$2,282.69	$5,416.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,157.64 / $2,157.64 / $3,924.95	Facility		$2,157.64	$2,157.64	$3,924.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $847.46 / $2,467.32 / $3,776.34	Professional		$847.46	$2,467.32	$3,776.34