Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,043.00 / $10,296.00	Facility		$1,516.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.78 / $1,696.81 / $3,093.98	Professional		$1,254.78	$1,696.81	$3,093.98
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 $1,078.97 / $1,410.42 / $3,077.53	Professional		$1,078.97	$1,410.42	$3,077.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,850.56 / $1,850.56 / $37,499.62	Facility		$1,850.56	$1,850.56	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,850.56 / $1,850.56 / $1,850.56	Professional		$1,850.56	$1,850.56	$1,850.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,495.15 / $1,495.15 / $7,227.90	Facility		$1,495.15	$1,495.15	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,112.33 / $2,024.85 / $4,847.24	Professional		$1,112.33	$2,024.85	$4,847.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $750.00 / $3,525.48	Facility		$319.00	$750.00	$3,525.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,410.19 / $1,880.26 / $2,710.70	Professional		$1,410.19	$1,880.26	$2,710.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.34 / $1,257.69 / $2,245.85	Professional		$810.34	$1,257.69	$2,245.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,495.15 / $74,999.25	Facility		$555.00	$1,495.15	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,112.33 / $2,134.39 / $4,558.09	Professional		$1,112.33	$2,134.39	$4,558.09
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 $1,175.81 / $1,691.48 / $4,113.64	Professional		$1,175.81	$1,691.48	$4,113.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,647.27 / $1,647.27 / $4,448.72	Facility		$1,647.27	$1,647.27	$4,448.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $810.34 / $1,884.23 / $3,291.31	Professional		$810.34	$1,884.23	$3,291.31