Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,715.35 / $9,120.11	Facility		$812.83	$3,715.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,659.59	Professional		$537.03	$676.08	$1,659.59
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 $478.63 / $602.56 / $1,479.11	Professional		$478.63	$602.56	$1,479.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,698.24 / $6,165.95	Facility		$831.76	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $50,118.72	Facility		$1,000.00	$1,000.00	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $2,691.53	Professional		$588.84	$891.25	$2,691.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $1,659.59	Facility		$407.38	$676.08	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,288.25	Professional		$645.65	$891.25	$1,288.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,258.93	Professional		$501.19	$776.25	$1,258.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $50,118.72 / $75,857.76	Facility		$616.60	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $1,621.81	Professional		$398.11	$776.25	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $11,481.54	Facility		$2,344.23	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,778.28	Professional		$512.86	$724.44	$1,778.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $2,691.53	Facility		$478.63	$707.95	$2,691.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,737.80	Professional		$478.63	$724.44	$1,737.80