Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,530.02 / $5,250.00 / $11,996.00	Facility		$1,530.02	$5,250.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.08 / $1,501.58 / $2,626.00	Professional		$1,147.08	$1,501.58	$2,626.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.65 / $1,174.81 / $3,071.21	Professional		$911.65	$1,174.81	$3,071.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,763.65 / $2,644.00 / $12,319.50	Facility		$1,763.65	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,763.65 / $1,763.65 / $1,763.65	Professional		$1,763.65	$1,763.65	$1,763.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,391.76 / $1,391.76 / $7,289.38	Facility		$1,391.76	$1,391.76	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.69 / $2,070.41 / $4,476.01	Professional		$942.69	$2,070.41	$4,476.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,101.33 / $3,622.32	Facility		$332.00	$2,101.33	$3,622.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.92 / $1,664.99 / $2,491.75	Professional		$1,419.92	$1,664.99	$2,491.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $887.26 / $1,148.27 / $2,268.04	Professional		$887.26	$1,148.27	$2,268.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,391.76 / $36,596.00	Facility		$597.00	$1,391.76	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,068.15 / $2,107.67 / $4,525.76	Professional		$1,068.15	$2,107.67	$4,525.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $14,770.00	Facility		$2,337.00	$6,450.00	$14,770.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.96 / $1,512.10 / $3,794.94	Professional		$754.96	$1,512.10	$3,794.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,319.64 / $1,319.64 / $4,210.31	Facility		$1,319.64	$1,319.64	$4,210.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $887.26 / $1,437.33 / $2,921.15	Professional		$887.26	$1,437.33	$2,921.15