Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,265.80 / $10,000.00	Facility		$1,288.25	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,511.89	Professional		$870.96	$1,047.13	$2,511.89
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 $724.44 / $912.01 / $2,344.23	Professional		$724.44	$912.01	$2,344.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $8,912.51	Facility		$1,380.38	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,754.40 / $53,703.18	Facility		$4,786.30	$5,754.40	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $3,090.30	Professional		$1,047.13	$1,318.26	$3,090.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $3,715.35	Facility		$1,023.29	$1,258.93	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,187.76	Professional		$1,096.48	$1,513.56	$2,187.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $2,041.74	Professional		$758.58	$1,258.93	$2,041.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $50,118.72 / $75,857.76	Facility		$912.01	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,230.27 / $2,630.27	Professional		$398.11	$1,230.27	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $11,481.54	Facility		$2,344.23	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,884.03	Professional		$812.83	$1,148.15	$2,884.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $3,981.07	Facility		$794.33	$1,148.15	$3,981.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,630.27	Professional		$794.33	$1,202.26	$2,630.27