Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,098.63 / $40,999.00 / $83,947.00	Facility		$2,098.63	$40,999.00	$83,947.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,526.86 / $4,000.62 / $4,783.53	Professional		$1,526.86	$4,000.62	$4,783.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,173.00 / $8,880.00 / $131,516.00	Facility		$4,173.00	$8,880.00	$131,516.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.42 / $1,458.31 / $3,077.03	Professional		$1,191.42	$1,458.31	$3,077.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,573.46 / $2,573.46 / $2,573.46	Facility		$2,573.46	$2,573.46	$2,573.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,573.46 / $2,573.46 / $2,573.46	Professional		$2,573.46	$2,573.46	$2,573.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,158.15 / $7,227.90 / $118,916.00	Facility		$3,158.15	$7,227.90	$118,916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,316.69 / $2,316.69	Professional		$2,316.69	$2,316.69	$2,316.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,400.00 / $9,385.18	Facility		$319.00	$2,400.00	$9,385.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,754.07 / $5,498.59 / $10,261.12	Professional		$3,754.07	$5,498.59	$10,261.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,685.18 / $4,277.01 / $6,428.62	Professional		$2,685.18	$4,277.01	$6,428.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $118,916.00	Facility		$555.00	$7,227.90	$118,916.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,119.36 / $2,316.69 / $2,316.69	Professional		$2,119.36	$2,316.69	$2,316.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,877.00 / $12,177.00	Facility		$2,337.00	$5,877.00	$12,177.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,850.44 / $3,441.05 / $9,996.70	Professional		$1,850.44	$3,441.05	$9,996.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,544.58 / $3,544.58 / $3,544.58	Facility		$3,544.58	$3,544.58	$3,544.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,817.13 / $3,544.58 / $6,965.76	Professional		$2,817.13	$3,544.58	$6,965.76