Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,073.80 / $10,000.00	Facility		$851.14	$4,073.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,513.56	Professional		$512.86	$645.65	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $1,445.44	Professional		$446.68	$562.34	$1,445.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,995.26 / $8,912.51	Facility		$812.83	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $50,118.72	Facility		$977.24	$977.24	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $2,454.71	Professional		$562.34	$851.14	$2,454.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $851.14 / $2,137.96	Facility		$602.56	$851.14	$2,137.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,288.25	Professional		$645.65	$870.96	$1,288.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $1,230.27	Professional		$467.74	$758.58	$1,230.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $50,118.72 / $75,857.76	Facility		$549.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $1,584.89	Professional		$398.11	$758.58	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,897.79 / $11,481.54	Facility		$2,344.23	$4,897.79	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,737.80	Professional		$489.78	$707.95	$1,737.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $691.83 / $2,137.96	Facility		$467.74	$691.83	$2,137.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,548.82	Professional		$467.74	$691.83	$1,548.82