Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.08 / $5,164.00 / $10,965.00	Facility		$1,130.08	$5,164.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.70 / $1,346.60 / $4,486.00	Professional		$994.70	$1,346.60	$4,486.00
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 $976.90 / $1,253.68 / $2,771.23	Professional		$976.90	$1,253.68	$2,771.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,660.38 / $1,660.38 / $37,499.62	Facility		$1,660.38	$1,660.38	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,660.38 / $1,660.38 / $1,660.38	Professional		$1,660.38	$1,660.38	$1,660.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,374.48 / $1,374.48 / $7,227.90	Facility		$1,374.48	$1,374.48	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.56 / $1,956.23 / $6,216.32	Professional		$1,084.56	$1,956.23	$6,216.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,961.00 / $3,406.10	Facility		$319.00	$1,961.00	$3,406.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,458.04 / $1,616.61 / $2,618.91	Professional		$1,458.04	$1,616.61	$2,618.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.10 / $1,383.43 / $2,199.36	Professional		$728.10	$1,383.43	$2,199.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,374.48 / $74,999.25	Facility		$597.00	$1,374.48	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,169.14 / $1,956.23 / $5,667.22	Professional		$1,169.14	$1,956.23	$5,667.22
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 $1,050.66 / $1,692.89 / $3,712.98	Professional		$1,050.66	$1,692.89	$3,712.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,383.43 / $1,383.43 / $4,038.17	Facility		$1,383.43	$1,383.43	$4,038.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $728.10 / $1,390.70 / $2,642.63	Professional		$728.10	$1,390.70	$2,642.63