Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,897.79 / $10,000.00	Facility		$1,905.46	$4,897.79	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,659.59	Professional		$891.25	$1,047.13	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,995.26	Professional		$758.58	$933.25	$1,995.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,073.80 / $12,302.69	Facility		$1,905.46	$4,073.80	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,905.46 / $53,703.18	Facility		$1,862.09	$1,905.46	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,479.11 / $4,073.80	Professional		$741.31	$1,479.11	$4,073.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,071.52 / $2,570.40	Facility		$602.56	$1,071.52	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,819.70 / $2,691.53	Professional		$346.74	$1,819.70	$2,691.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,202.26 / $2,041.74	Professional		$489.78	$1,202.26	$2,041.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $50,118.72 / $53,703.18	Facility		$616.60	$50,118.72	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,202.26 / $2,511.89	Professional		$645.65	$1,202.26	$2,511.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,344.23	Facility		$851.14	$1,202.26	$2,344.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,202.26 / $2,818.38	Professional		$489.78	$1,202.26	$2,818.38