Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,265.80 / $10,000.00	Facility		$1,202.26	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $2,398.83	Professional		$794.33	$1,000.00	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $2,187.76	Professional		$676.08	$870.96	$2,187.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $8,912.51	Facility		$1,230.27	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $50,118.72	Facility		$1,479.11	$1,479.11	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $3,981.07	Professional		$870.96	$1,288.25	$3,981.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $977.24 / $3,090.30	Facility		$776.25	$977.24	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,862.09	Professional		$933.25	$1,258.93	$1,862.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,819.70	Professional		$741.31	$1,122.02	$1,819.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $50,118.72 / $75,857.76	Facility		$912.01	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,122.02 / $2,344.23	Professional		$398.11	$1,122.02	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $12,882.50	Facility		$2,344.23	$5,128.61	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $2,630.27	Professional		$741.31	$1,071.52	$2,630.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $3,981.07	Facility		$707.95	$1,023.29	$3,981.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $2,344.23	Professional		$707.95	$1,023.29	$2,344.23