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 $776.25 / $933.25 / $2,344.23	Professional		$776.25	$933.25	$2,344.23
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 $645.65 / $831.76 / $2,089.30	Professional		$645.65	$831.76	$2,089.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $8,912.51	Facility		$1,258.93	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
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 / $1,318.26 / $3,890.45	Professional		$851.14	$1,318.26	$3,890.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,148.15 / $3,311.31	Facility		$933.25	$1,148.15	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,949.84	Professional		$1,000.00	$1,348.96	$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 $724.44 / $1,148.15 / $1,862.09	Professional		$724.44	$1,148.15	$1,862.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $50,118.72 / $75,857.76	Facility		$891.25	$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 $2,344.23 / $5,128.61 / $12,882.50	Facility		$2,344.23	$5,128.61	$12,882.50
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 $724.44 / $1,047.13 / $4,168.69	Facility		$724.44	$1,047.13	$4,168.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,630.27	Professional		$724.44	$1,096.48	$2,630.27