Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,073.80 / $10,000.00	Facility		$660.69	$4,073.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $1,348.96	Professional		$446.68	$562.34	$1,348.96
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 $389.05 / $489.78 / $1,174.90	Professional		$389.05	$489.78	$1,174.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $8,912.51	Facility		$707.95	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $50,118.72	Facility		$870.96	$870.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $2,137.96	Professional		$478.63	$724.44	$2,137.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $741.31 / $1,949.84	Facility		$537.03	$741.31	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,148.15	Professional		$575.44	$794.33	$1,148.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $1,071.52	Professional		$398.11	$676.08	$1,071.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $50,118.72 / $75,857.76	Facility		$489.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $1,380.38	Professional		$398.11	$676.08	$1,380.38
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 $426.58 / $616.60 / $1,513.56	Professional		$426.58	$616.60	$1,513.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $616.60 / $1,819.70	Facility		$416.87	$616.60	$1,819.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,380.38	Professional		$416.87	$616.60	$1,380.38