Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,265.80 / $10,000.00	Facility		$1,096.48	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $2,187.76	Professional		$724.44	$891.25	$2,187.76
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 / $1,995.26	Professional		$676.08	$870.96	$1,995.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $8,912.51	Facility		$1,122.02	$1,122.02	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,348.96 / $50,118.72	Facility		$34.67	$1,348.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $3,630.78	Professional		$776.25	$1,174.90	$3,630.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $2,884.03	Facility		$794.33	$1,023.29	$2,884.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,698.24	Professional		$851.14	$1,174.90	$1,698.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,659.59	Professional		$676.08	$1,047.13	$1,659.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $50,118.72 / $75,857.76	Facility		$812.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,047.13 / $2,137.96	Professional		$398.11	$1,047.13	$2,137.96
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 $660.69 / $977.24 / $2,398.83	Professional		$660.69	$977.24	$2,398.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $3,090.30	Facility		$645.65	$954.99	$3,090.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $2,137.96	Professional		$645.65	$954.99	$2,137.96