Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,248.07 / $12,882.50	Facility		$1,479.11	$5,248.07	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $3,467.37	Professional		$1,000.00	$1,258.93	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,754.23	Professional		$891.25	$1,122.02	$2,754.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $37,153.52	Facility		$1,513.56	$1,513.56	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,862.09 / $50,118.72	Facility		$34.67	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,778.28 / $4,786.30	Professional		$933.25	$1,778.28	$4,786.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $3,801.89	Facility		$1,122.02	$1,949.84	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,949.84	Professional		$1,023.29	$1,348.96	$1,949.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,584.89 / $2,290.87	Professional		$851.14	$1,584.89	$2,290.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $50,118.72 / $75,857.76	Facility		$1,202.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,445.44 / $2,344.23	Professional		$398.11	$1,445.44	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $3,235.94	Professional		$831.76	$1,202.26	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,412.54 / $3,715.35	Facility		$891.25	$1,412.54	$3,715.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $3,467.37	Professional		$870.96	$1,412.54	$3,467.37