Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,556.00 / $4,792.00 / $11,396.00	Facility		$1,556.00	$4,792.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,319.05 / $1,687.75 / $2,497.57	Professional		$1,319.05	$1,687.75	$2,497.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,069.47 / $1,398.01 / $3,167.34	Professional		$1,069.47	$1,398.01	$3,167.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,845.11 / $1,845.11 / $37,499.62	Facility		$1,845.11	$1,845.11	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,845.11 / $1,845.11 / $1,845.11	Professional		$1,845.11	$1,845.11	$1,845.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,483.51 / $1,483.51 / $7,227.90	Facility		$1,483.51	$1,483.51	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.29 / $2,260.82 / $5,090.71	Professional		$1,130.29	$2,260.82	$5,090.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,500.00 / $3,325.16	Facility		$319.00	$1,500.00	$3,325.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,477.85 / $1,767.30 / $2,644.86	Professional		$1,477.85	$1,767.30	$2,644.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,059.31 / $1,569.36 / $2,374.10	Professional		$1,059.31	$1,569.36	$2,374.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,483.51 / $23,612.00	Facility		$597.00	$1,483.51	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,345.79 / $2,202.00 / $4,729.09	Professional		$1,345.79	$2,202.00	$4,729.09
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 $1,057.09 / $1,639.62 / $3,647.58	Professional		$1,057.09	$1,639.62	$3,647.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,732.28 / $1,732.28 / $4,374.28	Facility		$1,732.28	$1,732.28	$4,374.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,082.92 / $1,732.28 / $2,748.01	Professional		$1,082.92	$1,732.28	$2,748.01