Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.84 / $4,043.00 / $10,296.00	Facility		$1,494.84	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,384.76 / $1,692.83 / $2,860.12	Professional		$1,384.76	$1,692.83	$2,860.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,252.00 / $11,909.00	Facility		$3,283.00	$5,252.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,030.64 / $1,347.25 / $2,993.21	Professional		$1,030.64	$1,347.25	$2,993.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,781.73 / $1,781.73 / $37,499.62	Facility		$1,781.73	$1,781.73	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,781.73 / $1,781.73 / $1,781.73	Professional		$1,781.73	$1,781.73	$1,781.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,432.39 / $1,432.39 / $7,227.90	Facility		$1,432.39	$1,432.39	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.55 / $2,099.37 / $4,422.68	Professional		$1,002.55	$2,099.37	$4,422.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,424.00 / $3,209.96	Facility		$319.00	$1,424.00	$3,209.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,450.82 / $1,877.59 / $2,553.48	Professional		$1,450.82	$1,877.59	$2,553.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.38 / $1,234.75 / $2,182.81	Professional		$941.38	$1,234.75	$2,182.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,432.39 / $74,999.25	Facility		$555.00	$1,432.39	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,037.25 / $2,074.98 / $4,412.43	Professional		$1,037.25	$2,074.98	$4,412.43
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 $1,120.29 / $1,585.08 / $3,455.64	Professional		$1,120.29	$1,585.08	$3,455.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,601.03 / $1,601.03 / $4,586.22	Facility		$1,601.03	$1,601.03	$4,586.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $941.38 / $1,601.03 / $3,198.93	Professional		$941.38	$1,601.03	$3,198.93