Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,576.00 / $12,568.00	Facility		$1,819.00	$5,576.00	$12,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,224.65 / $1,691.48 / $3,889.35	Professional		$1,224.65	$1,691.48	$3,889.35
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 $1,099.27 / $1,436.96 / $3,313.13	Professional		$1,099.27	$1,436.96	$3,313.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,112.36 / $3,478.50 / $13,477.50	Facility		$2,112.36	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,112.36 / $2,112.36 / $2,112.36	Professional		$2,112.36	$2,112.36	$2,112.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,681.04 / $1,681.04 / $2,203.26	Facility		$1,681.04	$1,681.04	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,169.50 / $1,841.33 / $4,138.82	Professional		$1,169.50	$1,841.33	$4,138.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,574.15 / $3,805.45	Facility		$332.00	$1,574.15	$3,805.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.97 / $2,023.04 / $3,148.30	Professional		$1,651.97	$2,023.04	$3,148.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $762.47 / $1,395.20 / $2,779.24	Professional		$762.47	$1,395.20	$2,779.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,681.04 / $74,999.25	Facility		$555.00	$1,681.04	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,232.56 / $1,878.86 / $3,940.85	Professional		$1,232.56	$1,878.86	$3,940.85
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 $1,231.83 / $1,639.71 / $3,697.66	Professional		$1,231.83	$1,639.71	$3,697.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,053.81 / $2,053.81 / $4,329.21	Facility		$2,053.81	$2,053.81	$4,329.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $762.47 / $2,053.81 / $3,818.82	Professional		$762.47	$2,053.81	$3,818.82