Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,073.80 / $10,000.00	Facility		$1,348.96	$4,073.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,884.03	Professional		$954.99	$1,202.26	$2,884.03
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 $954.99 / $1,174.90 / $2,630.27	Professional		$954.99	$1,174.90	$2,630.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $12,302.69	Facility		$1,479.11	$1,479.11	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,778.28 / $50,118.72	Facility		$34.67	$1,778.28	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $4,786.30	Professional		$1,047.13	$1,584.89	$4,786.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,801.89	Facility		$1,174.90	$1,548.82	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,238.72	Professional		$1,122.02	$1,548.82	$2,238.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $2,238.72	Professional		$891.25	$1,380.38	$2,238.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $50,118.72 / $75,857.76	Facility		$1,096.48	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,019.95	Professional		$1,202.26	$1,548.82	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,982.44	Facility		$2,454.71	$6,456.54	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $3,235.94	Professional		$912.01	$1,288.25	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,258.93 / $4,073.80	Facility		$851.14	$1,258.93	$4,073.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $2,818.38	Professional		$851.14	$1,258.93	$2,818.38