Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $5,248.07 / $12,022.64	Facility		$870.96	$5,248.07	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $1,862.09	Professional		$549.54	$707.95	$1,862.09
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 $512.86 / $660.69 / $1,513.56	Professional		$512.86	$660.69	$1,513.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,630.27 / $12,302.69	Facility		$870.96	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $50,118.72	Facility		$1,202.26	$1,202.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $2,754.23	Professional		$602.56	$933.25	$2,754.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,000.00 / $2,630.27	Facility		$776.25	$1,000.00	$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 $524.81 / $933.25 / $1,513.56	Professional		$524.81	$933.25	$1,513.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $50,118.72 / $75,857.76	Facility		$645.65	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $831.76 / $1,862.09	Professional		$398.11	$831.76	$1,862.09
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 $537.03 / $758.58 / $1,862.09	Professional		$537.03	$758.58	$1,862.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $2,884.03	Facility		$588.84	$851.14	$2,884.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $1,862.09	Professional		$537.03	$912.01	$1,862.09