Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,470.00 / $4,910.00 / $10,965.00	Facility		$1,470.00	$4,910.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,100.39 / $1,571.29 / $3,457.90	Professional		$1,100.39	$1,571.29	$3,457.90
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 $1,012.92 / $1,324.08 / $3,287.44	Professional		$1,012.92	$1,324.08	$3,287.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,736.47 / $1,736.47 / $37,499.62	Facility		$1,736.47	$1,736.47	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,736.47 / $1,736.47 / $1,736.47	Professional		$1,736.47	$1,736.47	$1,736.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,434.85 / $1,434.85 / $7,227.90	Facility		$1,434.85	$1,434.85	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.48 / $2,119.54 / $6,504.85	Professional		$1,230.48	$2,119.54	$6,504.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,119.78 / $3,809.60	Facility		$319.00	$2,119.78	$3,809.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.61 / $1,679.61 / $2,732.57	Professional		$1,516.61	$1,679.61	$2,732.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $988.18 / $1,439.07 / $2,287.81	Professional		$988.18	$1,439.07	$2,287.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,434.85 / $74,999.25	Facility		$597.00	$1,434.85	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,230.48 / $2,265.98 / $5,790.69	Professional		$1,230.48	$2,265.98	$5,790.69
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 $1,162.83 / $1,716.58 / $5,008.95	Professional		$1,162.83	$1,716.58	$5,008.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,439.07 / $1,439.07 / $5,107.14	Facility		$1,439.07	$1,439.07	$5,107.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $988.18 / $1,540.98 / $2,951.63	Professional		$988.18	$1,540.98	$2,951.63