Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,265.80 / $10,000.00	Facility		$1,659.59	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $3,162.28	Professional		$1,148.15	$1,412.54	$3,162.28
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 $1,122.02 / $1,380.38 / $3,388.44	Professional		$1,122.02	$1,380.38	$3,388.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $8,912.51	Facility		$1,905.46	$1,905.46	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,290.87 / $50,118.72	Facility		$34.67	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,862.09 / $5,495.41	Professional		$1,071.52	$1,862.09	$5,495.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,479.11 / $3,801.89	Facility		$912.01	$1,479.11	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,818.38	Professional		$1,412.54	$1,949.84	$2,818.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $2,818.38	Professional		$1,071.52	$1,778.28	$2,818.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $50,118.72 / $75,857.76	Facility		$794.33	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,778.28 / $3,630.78	Professional		$398.11	$1,778.28	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $14,791.08	Facility		$2,398.83	$5,888.44	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $3,981.07	Professional		$912.01	$1,621.81	$3,981.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $3,388.44	Facility		$1,096.48	$1,584.89	$3,388.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $3,388.44	Professional		$1,096.48	$1,659.59	$3,388.44