Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,801.89 / $9,120.11	Facility		$1,000.00	$3,801.89	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,949.84	Professional		$660.69	$812.83	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,819.70	Professional		$588.84	$741.31	$1,819.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $6,165.95	Facility		$1,023.29	$1,698.24	$6,165.95
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 $1,230.27 / $1,230.27 / $50,118.72	Facility		$1,230.27	$1,230.27	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $3,235.94	Professional		$724.44	$1,071.52	$3,235.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,047.13 / $2,691.53	Facility		$741.31	$1,047.13	$2,691.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,584.89	Professional		$794.33	$1,096.48	$1,584.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,548.82	Professional		$588.84	$954.99	$1,548.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $50,118.72 / $75,857.76	Facility		$707.95	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $933.25 / $1,995.26	Professional		$398.11	$933.25	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $10,471.29	Facility		$2,041.74	$4,265.80	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $2,187.76	Professional		$616.60	$870.96	$2,187.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $870.96 / $2,951.21	Facility		$588.84	$870.96	$2,951.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $2,041.74	Professional		$588.84	$870.96	$2,041.74