Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,073.80 / $10,000.00	Facility		$1,047.13	$4,073.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,995.26	Professional		$691.83	$891.25	$1,995.26
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 $616.60 / $776.25 / $1,949.84	Professional		$616.60	$776.25	$1,949.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,995.26 / $8,912.51	Facility		$1,071.52	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $50,118.72	Facility		$1,288.25	$1,288.25	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $3,467.37	Professional		$758.58	$1,148.15	$3,467.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,754.23	Facility		$776.25	$1,096.48	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,659.59	Professional		$831.76	$1,148.15	$1,659.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,621.81	Professional		$630.96	$954.99	$1,621.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $50,118.72 / $75,857.76	Facility		$870.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,000.00 / $2,041.74	Professional		$398.11	$1,000.00	$2,041.74
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 $645.65 / $933.25 / $2,344.23	Professional		$645.65	$933.25	$2,344.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $912.01 / $3,235.94	Facility		$616.60	$912.01	$3,235.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $2,187.76	Professional		$616.60	$912.01	$2,187.76