Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,265.80 / $10,000.00	Facility		$1,000.00	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $2,041.74	Professional		$645.65	$831.76	$2,041.74
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 $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 / $1,995.26 / $8,912.51	Facility		$1,023.29	$1,995.26	$8,912.51
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 $707.95 / $1,122.02 / $3,311.31	Professional		$707.95	$1,122.02	$3,311.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $831.76 / $2,630.27	Facility		$676.08	$831.76	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,584.89	Professional		$794.33	$1,071.52	$1,584.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,513.56	Professional		$602.56	$954.99	$1,513.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $50,118.72 / $75,857.76	Facility		$870.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $954.99 / $1,949.84	Professional		$398.11	$954.99	$1,949.84
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 $630.96 / $912.01 / $2,187.76	Professional		$630.96	$912.01	$2,187.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $870.96 / $3,715.35	Facility		$588.84	$870.96	$3,715.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $2,187.76	Professional		$588.84	$891.25	$2,187.76