Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,543.72 / $3,996.00 / $10,296.00	Facility		$1,543.72	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.03 / $1,618.59 / $2,845.89	Professional		$976.03	$1,618.59	$2,845.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,221.66 / $11,909.00	Facility		$3,283.00	$5,221.66	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,138.41 / $1,488.12 / $3,377.16	Professional		$1,138.41	$1,488.12	$3,377.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,978.55 / $1,978.55 / $37,499.62	Facility		$1,978.55	$1,978.55	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,978.55 / $1,978.55 / $1,978.55	Professional		$1,978.55	$1,978.55	$1,978.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,600.60 / $1,600.60 / $7,227.90	Facility		$1,600.60	$1,600.60	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.50 / $2,474.15 / $5,526.31	Professional		$1,341.50	$2,474.15	$5,526.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,186.00 / $3,788.91	Facility		$319.00	$2,186.00	$3,788.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,658.36 / $1,888.15 / $2,913.25	Professional		$1,658.36	$1,888.15	$2,913.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $968.49 / $1,692.82 / $2,517.41	Professional		$968.49	$1,692.82	$2,517.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,600.60 / $7,227.90	Facility		$555.00	$1,600.60	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,418.70 / $2,472.80 / $5,469.91	Professional		$1,418.70	$2,472.80	$5,469.91
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 $1,219.42 / $1,801.37 / $5,558.72	Professional		$1,219.42	$1,801.37	$5,558.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,798.15 / $1,798.15 / $4,534.12	Facility		$1,798.15	$1,798.15	$4,534.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $968.49 / $1,798.15 / $2,937.02	Professional		$968.49	$1,798.15	$2,937.02