Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,265.80 / $10,000.00	Facility		$1,258.93	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,570.40	Professional		$831.76	$1,023.29	$2,570.40
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 $724.44 / $912.01 / $2,290.87	Professional		$724.44	$912.01	$2,290.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $8,912.51	Facility		$1,288.25	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $50,118.72	Facility		$1,548.82	$1,548.82	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $4,168.69	Professional		$912.01	$1,445.44	$4,168.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,047.13 / $2,691.53	Facility		$660.69	$1,047.13	$2,691.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,949.84	Professional		$977.24	$1,348.96	$1,949.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,949.84	Professional		$794.33	$1,174.90	$1,949.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $50,118.72 / $75,857.76	Facility		$1,071.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,202.26 / $2,511.89	Professional		$398.11	$1,202.26	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,982.44	Facility		$2,454.71	$6,456.54	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,818.38	Professional		$812.83	$1,148.15	$2,818.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,096.48 / $5,248.07	Facility		$741.31	$1,096.48	$5,248.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,818.38	Professional		$741.31	$1,096.48	$2,818.38