Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,265.80 / $10,000.00	Facility		$1,122.02	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $2,570.40	Professional		$758.58	$933.25	$2,570.40
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 $676.08 / $851.14 / $2,089.30	Professional		$676.08	$851.14	$2,089.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $8,912.51	Facility		$1,230.27	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $50,118.72	Facility		$1,445.44	$1,445.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $3,801.89	Professional		$851.14	$1,288.25	$3,801.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,445.44 / $3,311.31	Facility		$933.25	$1,445.44	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,949.84	Professional		$1,023.29	$1,380.38	$1,949.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $1,862.09	Professional		$645.65	$1,096.48	$1,862.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,122.02 / $2,398.83	Professional		$398.11	$1,122.02	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $2,570.40	Professional		$741.31	$1,047.13	$2,570.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $3,715.35	Facility		$707.95	$1,047.13	$3,715.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $2,570.40	Professional		$645.65	$1,047.13	$2,570.40