Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.00 / $5,894.00 / $11,996.00	Facility		$1,548.00	$5,894.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.78 / $815.51 / $5,146.39	Professional		$369.78	$815.51	$5,146.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $4,960.00 / $11,448.00	Facility		$2,644.00	$4,960.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.96 / $1,003.92 / $1,818.03	Professional		$768.96	$1,003.92	$1,818.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $778.52 / $1,906.98 / $37,499.62	Facility		$778.52	$1,906.98	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $778.52 / $1,906.98 / $2,685.50	Professional		$778.52	$1,906.98	$2,685.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,282.59 / $1,282.59 / $7,227.90	Facility		$1,282.59	$1,282.59	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,043.70 / $5,043.70 / $5,043.70	Professional		$5,043.70	$5,043.70	$5,043.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,067.00 / $2,149.11	Facility		$319.00	$1,067.00	$2,149.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $424.90 / $1,754.80 / $4,265.58	Professional		$424.90	$1,754.80	$4,265.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $985.63 / $1,534.63 / $2,108.36	Professional		$985.63	$1,534.63	$2,108.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,282.59 / $74,999.25	Facility		$555.00	$1,282.59	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,043.70 / $5,043.70 / $5,043.70	Professional		$5,043.70	$5,043.70	$5,043.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,006.81 / $1,814.28 / $4,284.26	Professional		$1,006.81	$1,814.28	$4,284.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,441.76 / $1,441.76 / $2,241.58	Facility		$1,441.76	$1,441.76	$2,241.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $921.43 / $1,534.63 / $2,390.32	Professional		$921.43	$1,534.63	$2,390.32