Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,683.99 / $5,224.00 / $11,396.00	Facility		$1,683.99	$5,224.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.20 / $1,523.41 / $3,335.42	Professional		$1,060.20	$1,523.41	$3,335.42
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 $968.16 / $1,265.58 / $2,867.63	Professional		$968.16	$1,265.58	$2,867.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,926.80 / $2,644.00 / $12,319.50	Facility		$1,926.80	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,926.80 / $1,926.80 / $1,926.80	Professional		$1,926.80	$1,926.80	$1,926.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,541.24 / $1,541.24 / $2,203.26	Facility		$1,541.24	$1,541.24	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,015.77 / $1,646.04 / $3,803.20	Professional		$1,015.77	$1,646.04	$3,803.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,435.82 / $3,473.26	Facility		$332.00	$1,435.82	$3,473.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,507.19 / $1,866.57 / $2,871.64	Professional		$1,507.19	$1,866.57	$2,871.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.50 / $1,269.06 / $2,544.40	Professional		$654.50	$1,269.06	$2,544.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,541.24 / $74,999.25	Facility		$555.00	$1,541.24	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,111.40 / $1,670.67 / $3,478.99	Professional		$1,111.40	$1,670.67	$3,478.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,768.00 / $11,176.00	Facility		$2,160.00	$5,768.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,083.93 / $1,426.94 / $3,013.43	Professional		$1,083.93	$1,426.94	$3,013.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,880.27 / $1,880.27 / $3,730.78	Facility		$1,880.27	$1,880.27	$3,730.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $654.50 / $1,880.27 / $3,492.79	Professional		$654.50	$1,880.27	$3,492.79