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 $707.95 / $891.25 / $1,995.26	Professional		$707.95	$891.25	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $2,041.74	Professional		$660.69	$812.83	$2,041.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $8,912.51	Facility		$1,122.02	$1,995.26	$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 $1,348.96 / $1,348.96 / $50,118.72	Facility		$1,348.96	$1,348.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $3,311.31	Professional		$741.31	$1,174.90	$3,311.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $2,344.23	Facility		$562.34	$912.01	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,737.80	Professional		$870.96	$1,202.26	$1,737.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,698.24	Professional		$645.65	$1,023.29	$1,698.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $50,118.72 / $75,857.76	Facility		$562.34	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,047.13 / $2,187.76	Professional		$398.11	$1,047.13	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,709.64	Facility		$1,819.70	$3,981.07	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $2,454.71	Professional		$616.60	$954.99	$2,454.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $2,511.89	Facility		$645.65	$954.99	$2,511.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $2,137.96	Professional		$645.65	$954.99	$2,137.96