Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,726.33 / $5,009.07 / $11,396.00	Facility		$1,726.33	$5,009.07	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,493.31 / $1,765.26 / $7,625.68	Professional		$1,493.31	$1,765.26	$7,625.68
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 $1,168.23 / $1,527.11 / $3,881.64	Professional		$1,168.23	$1,527.11	$3,881.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,956.61 / $1,956.61 / $37,499.62	Facility		$1,956.61	$1,956.61	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,956.61 / $1,956.61 / $1,956.61	Professional		$1,956.61	$1,956.61	$1,956.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,635.76 / $1,635.76 / $7,227.90	Facility		$1,635.76	$1,635.76	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.61 / $2,556.48 / $7,668.19	Professional		$1,313.61	$2,556.48	$7,668.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,422.37 / $4,656.00	Facility		$319.00	$2,422.37	$4,656.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.79 / $1,919.37 / $2,975.96	Professional		$1,690.79	$1,919.37	$2,975.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.83 / $1,651.15 / $2,628.49	Professional		$1,158.83	$1,651.15	$2,628.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,635.76 / $74,999.25	Facility		$597.00	$1,635.76	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,452.33 / $2,563.11 / $7,300.05	Professional		$1,452.33	$2,563.11	$7,300.05
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 $1,426.73 / $2,072.92 / $4,465.95	Professional		$1,426.73	$2,072.92	$4,465.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,653.36 / $1,653.36 / $6,450.19	Facility		$1,653.36	$1,653.36	$6,450.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,231.59 / $1,653.36 / $3,391.15	Professional		$1,231.59	$1,653.36	$3,391.15