Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,761.05 / $4,043.00 / $10,296.00	Facility		$1,761.05	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.04 / $1,834.39 / $3,099.92	Professional		$1,047.04	$1,834.39	$3,099.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,223.94 / $1,599.93 / $3,642.24	Professional		$1,223.94	$1,599.93	$3,642.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,126.08 / $2,126.08 / $37,499.62	Facility		$2,126.08	$2,126.08	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,126.08 / $2,126.08 / $2,126.08	Professional		$2,126.08	$2,126.08	$2,126.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,887.18 / $1,887.18 / $1,887.18	Professional		$1,887.18	$1,887.18	$1,887.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,174.00 / $4,127.10	Facility		$319.00	$2,174.00	$4,127.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,810.86 / $2,060.28 / $3,173.29	Professional		$1,810.86	$2,060.28	$3,173.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.35 / $1,661.53 / $2,736.63	Professional		$1,019.35	$1,661.53	$2,736.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,687.53 / $2,419.28 / $5,251.63	Professional		$1,687.53	$2,419.28	$5,251.63
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 $1,262.27 / $1,842.02 / $4,931.17	Professional		$1,262.27	$1,842.02	$4,931.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,954.74 / $1,954.74 / $4,874.74	Facility		$1,954.74	$1,954.74	$4,874.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,019.35 / $1,882.30 / $3,192.78	Professional		$1,019.35	$1,882.30	$3,192.78