Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,248.07 / $11,748.98	Facility		$1,000.00	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,949.84	Professional		$602.56	$812.83	$1,949.84
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 $588.84 / $724.44 / $1,659.59	Professional		$588.84	$724.44	$1,659.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $37,153.52	Facility		$1,023.29	$1,023.29	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,230.27 / $50,118.72	Facility		$34.67	$1,230.27	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $3,235.94	Professional		$691.83	$1,047.13	$3,235.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $2,630.27	Facility		$645.65	$831.76	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,548.82	Professional		$776.25	$1,071.52	$1,548.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,513.56	Professional		$602.56	$954.99	$1,513.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $50,118.72 / $75,857.76	Facility		$776.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $933.25 / $1,548.82	Professional		$398.11	$933.25	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,595.87	Facility		$2,454.71	$6,456.54	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $2,187.76	Professional		$616.60	$891.25	$2,187.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $870.96 / $3,311.31	Facility		$588.84	$870.96	$3,311.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $2,187.76	Professional		$588.84	$891.25	$2,187.76