Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,265.80 / $10,000.00	Facility		$1,288.25	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,570.40	Professional		$812.83	$1,148.15	$2,570.40
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 $891.25 / $1,096.48 / $2,398.83	Professional		$891.25	$1,096.48	$2,398.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $8,912.51	Facility		$1,548.82	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,905.46 / $50,118.72	Facility		$1,862.09	$1,905.46	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,445.44 / $4,365.16	Professional		$851.14	$1,445.44	$4,365.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,202.26 / $2,754.23	Facility		$660.69	$1,202.26	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,344.23	Professional		$1,202.26	$1,621.81	$2,344.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,412.54 / $2,344.23	Professional		$776.25	$1,412.54	$2,344.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,445.44 / $3,019.95	Professional		$398.11	$1,445.44	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,318.26 / $3,235.94	Professional		$758.58	$1,318.26	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,884.03	Facility		$870.96	$1,318.26	$2,884.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $2,951.21	Professional		$831.76	$1,318.26	$2,951.21