Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,641.98 / $4,976.13 / $11,396.00	Facility		$1,641.98	$4,976.13	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,378.44 / $1,747.13 / $5,580.00	Professional		$1,378.44	$1,747.13	$5,580.00
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 $1,136.43 / $1,485.54 / $3,625.51	Professional		$1,136.43	$1,485.54	$3,625.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,911.09 / $1,911.09 / $37,499.62	Facility		$1,911.09	$1,911.09	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,911.09 / $1,911.09 / $1,911.09	Professional		$1,911.09	$1,911.09	$1,911.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.39 / $1,579.39 / $7,227.90	Facility		$1,579.39	$1,579.39	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,357.18 / $2,367.51 / $7,367.00	Professional		$1,357.18	$2,367.51	$7,367.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,330.34 / $4,699.20	Facility		$319.00	$2,330.34	$4,699.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,667.85 / $1,846.44 / $3,007.61	Professional		$1,667.85	$1,846.44	$3,007.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,107.69 / $1,582.05 / $2,515.12	Professional		$1,107.69	$1,582.05	$2,515.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,579.39 / $58,336.00	Facility		$597.00	$1,579.39	$58,336.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,400.71 / $2,590.37 / $7,032.37	Professional		$1,400.71	$2,590.37	$7,032.37
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 $1,361.81 / $2,038.68 / $4,653.35	Professional		$1,361.81	$2,038.68	$4,653.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,582.05 / $1,582.05 / $5,852.10	Facility		$1,582.05	$1,582.05	$5,852.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,126.49 / $1,694.08 / $3,244.89	Professional		$1,126.49	$1,694.08	$3,244.89