Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,265.80 / $10,000.00	Facility		$851.14	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,621.81	Professional		$549.54	$691.83	$1,621.81
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 $501.19 / $630.96 / $1,479.11	Professional		$501.19	$630.96	$1,479.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,995.26 / $8,912.51	Facility		$912.01	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $50,118.72	Facility		$1,096.48	$1,096.48	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $2,691.53	Professional		$616.60	$891.25	$2,691.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $724.44 / $1,698.24	Facility		$346.74	$724.44	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,445.44	Professional		$724.44	$1,000.00	$1,445.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $1,380.38	Professional		$512.86	$851.14	$1,380.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $50,118.72 / $75,857.76	Facility		$616.60	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $831.76 / $1,778.28	Professional		$398.11	$831.76	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $9,549.93	Facility		$2,041.74	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,905.46	Professional		$524.81	$758.58	$1,905.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $776.25 / $2,344.23	Facility		$524.81	$776.25	$2,344.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,659.59	Professional		$512.86	$812.83	$1,659.59