Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $9,120.11	Facility		$1,023.29	$3,715.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $2,041.74	Professional		$676.08	$851.14	$2,041.74
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 $602.56 / $758.58 / $1,905.46	Professional		$602.56	$758.58	$1,905.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $6,165.95	Facility		$1,047.13	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $50,118.72	Facility		$1,258.93	$1,258.93	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $3,090.30	Professional		$724.44	$1,096.48	$3,090.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $2,570.40	Facility		$794.33	$1,023.29	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,513.56	Professional		$776.25	$1,071.52	$1,513.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,584.89	Professional		$616.60	$977.24	$1,584.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $50,118.72 / $75,857.76	Facility		$741.31	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,000.00 / $1,995.26	Professional		$398.11	$1,000.00	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $2,187.76	Professional		$630.96	$870.96	$2,187.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $3,235.94	Facility		$602.56	$891.25	$3,235.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $2,137.96	Professional		$616.60	$912.01	$2,137.96