Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,463.18 / $6,848.00 / $52,676.00	Facility		$1,463.18	$6,848.00	$52,676.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.25 / $1,256.75 / $2,851.40	Professional		$1,012.25	$1,256.75	$2,851.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,294.00 / $47,662.00	Facility		$4,989.00	$10,294.00	$47,662.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.67 / $1,168.20 / $2,645.19	Professional		$893.67	$1,168.20	$2,645.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,514.04 / $5,064.50 / $15,193.50	Facility		$1,514.04	$5,064.50	$15,193.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,514.04 / $1,514.04 / $1,514.04	Professional		$1,514.04	$1,514.04	$1,514.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,886.00 / $30,055.00 / $45,917.00	Facility		$12,886.00	$30,055.00	$45,917.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.13 / $1,791.01 / $3,904.76	Professional		$1,157.13	$1,791.01	$3,904.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,774.00 / $2,855.48	Facility		$319.00	$1,774.00	$2,855.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.19 / $1,522.92 / $2,195.54	Professional		$1,142.19	$1,522.92	$2,195.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.26 / $1,003.29 / $1,843.72	Professional		$864.26	$1,003.29	$1,843.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,222.80 / $30,469.00 / $45,917.00	Facility		$1,222.80	$30,469.00	$45,917.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,167.57 / $1,748.69 / $3,510.63	Professional		$1,167.57	$1,748.69	$3,510.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $9,860.00 / $32,473.00	Facility		$2,444.00	$9,860.00	$32,473.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.86 / $1,418.19 / $2,954.05	Professional		$1,023.86	$1,418.19	$2,954.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,463.14 / $1,463.14 / $3,905.28	Facility		$1,463.14	$1,463.14	$3,905.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $984.22 / $1,544.18 / $2,701.99	Professional		$984.22	$1,544.18	$2,701.99