Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,168.69 / $10,964.78	Facility		$1,023.29	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,862.09	Professional		$645.65	$812.83	$1,862.09
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 $588.84 / $741.31 / $1,698.24	Professional		$588.84	$741.31	$1,698.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $37,153.52	Facility		$1,023.29	$1,023.29	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,202.26 / $50,118.72	Facility		$34.67	$1,202.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $3,019.95	Professional		$691.83	$1,071.52	$3,019.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $2,630.27	Facility		$724.44	$1,000.00	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,548.82	Professional		$776.25	$1,071.52	$1,548.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $1,513.56	Professional		$562.34	$933.25	$1,513.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $50,118.72 / $75,857.76	Facility		$691.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $954.99 / $1,548.82	Professional		$398.11	$954.99	$1,548.82
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 $602.56 / $870.96 / $2,187.76	Professional		$602.56	$870.96	$2,187.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $3,090.30	Facility		$575.44	$851.14	$3,090.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,995.26	Professional		$575.44	$891.25	$1,995.26