Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,548.13 / $10,000.00	Facility		$537.03	$3,548.13	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $1,318.26	Professional		$380.19	$524.81	$1,318.26
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 $407.38 / $501.19 / $1,288.25	Professional		$407.38	$501.19	$1,288.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,995.26 / $8,912.51	Facility		$537.03	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $724.44	Professional		$537.03	$537.03	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $50,118.72	Facility		$676.08	$676.08	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,737.80	Professional		$407.38	$676.08	$1,737.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $1,479.11	Facility		$407.38	$501.19	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,348.96	Professional		$691.83	$954.99	$1,348.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,148.15	Professional		$416.87	$707.95	$1,148.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $50,118.72 / $75,857.76	Facility		$380.19	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $1,479.11	Professional		$398.11	$660.69	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $10,964.78	Facility		$2,041.74	$4,365.16	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $1,318.26	Professional		$331.13	$537.03	$1,318.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $1,621.81	Facility		$331.13	$478.63	$1,621.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,318.26	Professional		$446.68	$660.69	$1,318.26