Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.35 / $4,940.00 / $10,965.00	Facility		$1,547.35	$4,940.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.19 / $1,399.97 / $3,403.57	Professional		$1,055.19	$1,399.97	$3,403.57
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 $903.02 / $1,180.42 / $2,854.55	Professional		$903.02	$1,180.42	$2,854.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,852.37 / $2,390.00 / $10,957.50	Facility		$1,852.37	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,852.37 / $1,852.37 / $1,852.37	Professional		$1,852.37	$1,852.37	$1,852.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,414.85 / $1,414.85 / $2,203.26	Facility		$1,414.85	$1,414.85	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $976.65 / $1,571.92 / $3,489.91	Professional		$976.65	$1,571.92	$3,489.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,267.50 / $3,188.59	Facility		$332.00	$1,267.50	$3,188.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,383.71 / $1,690.31 / $2,636.30	Professional		$1,383.71	$1,690.31	$2,636.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.88 / $1,263.38 / $2,336.40	Professional		$607.88	$1,263.38	$2,336.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,203.26 / $74,999.25	Facility		$555.00	$2,203.26	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,049.31 / $1,621.57 / $3,836.77	Professional		$1,049.31	$1,621.57	$3,836.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,191.00 / $12,572.00	Facility		$2,063.00	$5,191.00	$12,572.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,059.63 / $1,438.06 / $3,173.22	Professional		$1,059.63	$1,438.06	$3,173.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,726.55 / $1,726.55 / $3,577.85	Facility		$1,726.55	$1,726.55	$3,577.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $607.88 / $1,726.55 / $3,232.22	Professional		$607.88	$1,726.55	$3,232.22