Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.16 / $5,824.00 / $13,015.00	Facility		$1,469.16	$5,824.00	$13,015.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.30 / $1,236.98 / $4,354.00	Professional		$1,050.30	$1,236.98	$4,354.00
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 $971.84 / $1,270.38 / $2,726.42	Professional		$971.84	$1,270.38	$2,726.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,677.35 / $3,478.50 / $13,477.50	Facility		$1,677.35	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,677.35 / $1,677.35 / $1,677.35	Professional		$1,677.35	$1,677.35	$1,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,340.26 / $1,340.26 / $1,340.26	Facility		$1,340.26	$1,340.26	$1,340.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.76 / $1,614.26 / $4,152.24	Professional		$903.76	$1,614.26	$4,152.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,272.09 / $3,139.90	Facility		$332.00	$1,272.09	$3,139.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,399.31 / $1,653.73 / $3,446.91	Professional		$1,399.31	$1,653.73	$3,446.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $899.62 / $1,112.39 / $2,200.51	Professional		$899.62	$1,112.39	$2,200.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,340.26 / $74,999.25	Facility		$555.00	$1,340.26	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,011.72 / $1,621.15 / $4,012.69	Professional		$1,011.72	$1,621.15	$4,012.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $13,746.00	Facility		$2,264.00	$5,963.00	$13,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $973.47 / $1,313.62 / $3,033.89	Professional		$973.47	$1,313.62	$3,033.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,417.85 / $1,417.85 / $4,466.97	Facility		$1,417.85	$1,417.85	$4,466.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $899.62 / $1,417.85 / $3,442.70	Professional		$899.62	$1,417.85	$3,442.70