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 $537.03 / $676.08 / $1,584.89	Professional		$537.03	$676.08	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $9,772.37	Facility		$2,630.27	$4,786.30	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,513.56	Professional		$489.78	$616.60	$1,513.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,995.26 / $8,912.51	Facility		$851.14	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $50,118.72	Facility		$1,023.29	$1,023.29	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $2,570.40	Professional		$588.84	$891.25	$2,570.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $691.83 / $1,548.82	Facility		$346.74	$691.83	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,318.26	Professional		$660.69	$912.01	$1,318.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,288.25	Professional		$478.63	$776.25	$1,288.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $50,118.72 / $75,857.76	Facility		$588.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $1,659.59	Professional		$398.11	$794.33	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,819.70	Professional		$512.86	$724.44	$1,819.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $724.44 / $2,187.76	Facility		$489.78	$724.44	$2,187.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,584.89	Professional		$489.78	$724.44	$1,584.89