Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,602.82 / $5,224.00 / $11,396.00	Facility		$1,602.82	$5,224.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.38 / $1,453.49 / $3,343.58	Professional		$1,049.38	$1,453.49	$3,343.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,217.00 / $5,196.00 / $11,909.00	Facility		$3,217.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $947.72 / $1,238.85 / $2,861.60	Professional		$947.72	$1,238.85	$2,861.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,840.62 / $2,644.00 / $12,319.50	Facility		$1,840.62	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,840.62 / $1,840.62 / $1,840.62	Professional		$1,840.62	$1,840.62	$1,840.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.79 / $1,467.79 / $2,203.26	Facility		$1,467.79	$1,467.79	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.51 / $1,597.73 / $3,615.77	Professional		$1,005.51	$1,597.73	$3,615.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,373.40 / $3,320.71	Facility		$332.00	$1,373.40	$3,320.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,441.39 / $1,763.61 / $2,746.80	Professional		$1,441.39	$1,763.61	$2,746.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.75 / $1,216.28 / $2,425.79	Professional		$641.75	$1,216.28	$2,425.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,467.79 / $74,999.25	Facility		$555.00	$1,467.79	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,063.68 / $1,611.63 / $3,982.62	Professional		$1,063.68	$1,611.63	$3,982.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,191.00 / $11,098.00	Facility		$2,063.00	$5,191.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,040.70 / $1,378.75 / $2,967.53	Professional		$1,040.70	$1,378.75	$2,967.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,792.61 / $1,792.61 / $3,650.83	Facility		$1,792.61	$1,792.61	$3,650.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $641.75 / $1,792.61 / $3,333.16	Professional		$641.75	$1,792.61	$3,333.16