Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,677.35 / $10,000.00	Facility		$891.25	$4,677.35	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $1,819.70	Professional		$549.54	$707.95	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,803.84	Facility		$3,981.07	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,584.89	Professional		$524.81	$660.69	$1,584.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,995.26 / $8,912.51	Facility		$870.96	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $50,118.72	Facility		$1,023.29	$1,023.29	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $2,630.27	Professional		$602.56	$933.25	$2,630.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $2,089.30	Facility		$630.96	$851.14	$2,089.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,230.27	Professional		$616.60	$870.96	$1,230.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,288.25	Professional		$537.03	$794.33	$1,288.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $50,118.72 / $75,857.76	Facility		$660.69	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $831.76 / $1,659.59	Professional		$398.11	$831.76	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,862.09	Professional		$524.81	$741.31	$1,862.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $2,884.03	Facility		$501.19	$741.31	$2,884.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,862.09	Professional		$524.81	$758.58	$1,862.09