Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.87 / $5,224.00 / $11,396.00	Facility		$1,635.87	$5,224.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.80 / $1,479.25 / $3,318.21	Professional		$1,041.80	$1,479.25	$3,318.21
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 $936.55 / $1,224.25 / $2,837.94	Professional		$936.55	$1,224.25	$2,837.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,869.75 / $2,644.00 / $12,319.50	Facility		$1,869.75	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,869.75 / $1,869.75 / $1,869.75	Professional		$1,869.75	$1,869.75	$1,869.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,495.01 / $1,495.01 / $2,792.55	Facility		$1,495.01	$1,495.01	$2,792.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.62 / $1,602.26 / $3,689.30	Professional		$993.62	$1,602.26	$3,689.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,393.66 / $3,371.83	Facility		$332.00	$1,393.66	$3,371.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,463.08 / $1,785.86 / $2,787.32	Professional		$1,463.08	$1,785.86	$2,787.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.47 / $1,231.63 / $2,468.02	Professional		$634.47	$1,231.63	$2,468.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,495.01 / $74,999.25	Facility		$555.00	$1,495.01	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,086.59 / $1,617.64 / $3,365.08	Professional		$1,086.59	$1,617.64	$3,365.08
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 $1,055.55 / $1,430.74 / $3,214.89	Professional		$1,055.55	$1,430.74	$3,214.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,823.82 / $1,823.82 / $3,597.69	Facility		$1,823.82	$1,823.82	$3,597.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $634.47 / $1,823.82 / $3,358.57	Professional		$634.47	$1,823.82	$3,358.57