Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,265.80 / $10,000.00	Facility		$1,230.27	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,511.89	Professional		$831.76	$1,023.29	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
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 $1,288.25 / $1,995.26 / $8,912.51	Facility		$1,288.25	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
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 $1,023.29 / $1,288.25 / $2,884.03	Professional		$1,023.29	$1,288.25	$2,884.03
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 / $1,380.38 / $1,995.26	Professional		$1,000.00	$1,380.38	$1,995.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,949.84	Professional		$758.58	$1,202.26	$1,949.84
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 / $1,202.26 / $2,511.89	Professional		$398.11	$1,202.26	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $14,791.08	Facility		$2,398.83	$5,888.44	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $2,818.38	Professional		$794.33	$1,122.02	$2,818.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,096.48 / $3,890.45	Facility		$741.31	$1,096.48	$3,890.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $2,630.27	Professional		$741.31	$1,122.02	$2,630.27