Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,650.24 / $5,370.00 / $11,609.00	Facility		$1,650.24	$5,370.00	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,400.56 / $1,696.52 / $2,874.02	Professional		$1,400.56	$1,696.52	$2,874.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,268.00 / $12,869.00	Facility		$4,100.00	$7,268.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,118.71 / $1,462.37 / $3,442.45	Professional		$1,118.71	$1,462.37	$3,442.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,959.14 / $1,959.14 / $37,499.62	Facility		$1,959.14	$1,959.14	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,959.14 / $1,959.14 / $1,959.14	Professional		$1,959.14	$1,959.14	$1,959.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,594.69 / $1,594.69 / $7,227.90	Facility		$1,594.69	$1,594.69	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,151.42 / $2,435.40 / $5,117.72	Professional		$1,151.42	$2,435.40	$5,117.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,140.00 / $3,615.93	Facility		$319.00	$2,140.00	$3,615.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,607.08 / $1,892.15 / $2,831.70	Professional		$1,607.08	$1,892.15	$2,831.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,135.72 / $1,304.93 / $2,578.75	Professional		$1,135.72	$1,304.93	$2,578.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,594.69 / $7,227.90	Facility		$555.00	$1,594.69	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,276.08 / $2,396.73 / $5,296.74	Professional		$1,276.08	$2,396.73	$5,296.74
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 $1,334.23 / $1,819.51 / $4,050.77	Professional		$1,334.23	$1,819.51	$4,050.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,492.69 / $1,492.69 / $4,492.74	Facility		$1,492.69	$1,492.69	$4,492.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,235.36 / $1,642.54 / $2,946.24	Professional		$1,235.36	$1,642.54	$2,946.24