Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,265.80 / $10,000.00	Facility		$1,148.15	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $2,137.96	Professional		$741.31	$977.24	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $2,290.87	Professional		$724.44	$891.25	$2,290.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $8,912.51	Facility		$1,122.02	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $50,118.72	Facility		$1,348.96	$1,348.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $3,548.13	Professional		$776.25	$1,348.96	$3,548.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $831.76 / $1,862.09	Facility		$407.38	$831.76	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,584.89	Professional		$812.83	$1,122.02	$1,584.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,659.59	Professional		$691.83	$1,047.13	$1,659.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $50,118.72 / $75,857.76	Facility		$954.99	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $2,089.30	Professional		$398.11	$1,096.48	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,489.63	Facility		$2,398.83	$5,888.44	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,511.89	Professional		$707.95	$1,000.00	$2,511.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $4,073.80	Facility		$645.65	$954.99	$4,073.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $2,398.83	Professional		$691.83	$977.24	$2,398.83