Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,248.07 / $11,748.98	Facility		$1,230.27	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $2,398.83	Professional		$794.33	$1,000.00	$2,398.83
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 / $2,238.72	Professional		$724.44	$912.01	$2,238.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $37,153.52	Facility		$1,230.27	$1,230.27	$37,153.52
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 $34.67 / $1,479.11 / $50,118.72	Facility		$34.67	$1,479.11	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $3,981.07	Professional		$870.96	$1,380.38	$3,981.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $2,818.38	Facility		$707.95	$977.24	$2,818.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,862.09	Professional		$933.25	$1,258.93	$1,862.09
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 $776.25 / $1,148.15 / $1,862.09	Professional		$776.25	$1,148.15	$1,862.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $50,118.72 / $75,857.76	Facility		$1,000.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,148.15 / $1,905.46	Professional		$398.11	$1,148.15	$1,905.46
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 $776.25 / $1,122.02 / $2,691.53	Professional		$776.25	$1,122.02	$2,691.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $5,011.87	Facility		$707.95	$1,047.13	$5,011.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $2,691.53	Professional		$707.95	$1,071.52	$2,691.53