Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,265.80 / $10,000.00	Facility		$1,288.25	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,691.53	Professional		$870.96	$1,096.48	$2,691.53
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 $794.33 / $1,000.00 / $2,511.89	Professional		$794.33	$1,000.00	$2,511.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $8,912.51	Facility		$1,348.96	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $50,118.72	Facility		$1,659.59	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $4,466.84	Professional		$954.99	$1,584.89	$4,466.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $3,467.37	Facility		$1,000.00	$1,288.25	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,041.74	Professional		$1,023.29	$1,412.54	$2,041.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $2,041.74	Professional		$851.14	$1,258.93	$2,041.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $50,118.72 / $75,857.76	Facility		$1,258.93	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,258.93 / $2,630.27	Professional		$398.11	$1,258.93	$2,630.27
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 $851.14 / $1,258.93 / $2,951.21	Professional		$851.14	$1,258.93	$2,951.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $6,025.60	Facility		$794.33	$1,148.15	$6,025.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $2,630.27	Professional		$794.33	$1,174.90	$2,630.27