Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.89 / $4,910.00 / $11,396.00	Facility		$1,441.89	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,208.54 / $1,537.85 / $4,414.34	Professional		$1,208.54	$1,537.85	$4,414.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.00 / $9,974.00 / $17,122.00	Facility		$4,793.00	$9,974.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.57 / $1,317.09 / $3,217.74	Professional		$1,007.57	$1,317.09	$3,217.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,701.47 / $1,701.47 / $37,499.62	Facility		$1,701.47	$1,701.47	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,701.47 / $1,701.47 / $1,701.47	Professional		$1,701.47	$1,701.47	$1,701.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,406.11 / $1,406.11 / $7,227.90	Facility		$1,406.11	$1,406.11	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.69 / $2,083.69 / $6,224.69	Professional		$1,200.69	$2,083.69	$6,224.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,086.13 / $3,884.80	Facility		$319.00	$2,086.13	$3,884.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,491.71 / $1,652.94 / $2,683.32	Professional		$1,491.71	$1,652.94	$2,683.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.76 / $1,414.15 / $2,248.19	Professional		$974.76	$1,414.15	$2,248.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,406.11 / $74,999.25	Facility		$597.00	$1,406.11	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,236.55 / $2,286.29 / $5,956.70	Professional		$1,236.55	$2,286.29	$5,956.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $9,020.04	Facility		$1,768.00	$4,176.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,236.55 / $1,825.39 / $4,120.91	Professional		$1,236.55	$1,825.39	$4,120.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,414.15 / $1,414.15 / $3,785.95	Facility		$1,414.15	$1,414.15	$3,785.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $974.76 / $1,514.29 / $2,900.52	Professional		$974.76	$1,514.29	$2,900.52