Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,981.07 / $10,000.00	Facility		$870.96	$3,981.07	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,819.70	Professional		$562.34	$758.58	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,584.89	Professional		$436.52	$562.34	$1,584.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,698.24 / $6,165.95	Facility		$933.25	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $50,118.72	Facility		$1,071.52	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,047.13 / $2,691.53	Professional		$501.19	$1,047.13	$2,691.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $691.83 / $1,548.82	Facility		$371.54	$691.83	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,202.26	Professional		$630.96	$831.76	$1,202.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,659.59	Professional		$524.81	$851.14	$1,659.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $50,118.72 / $75,857.76	Facility		$645.65	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $831.76 / $1,348.96	Professional		$398.11	$831.76	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,819.70	Professional		$501.19	$707.95	$1,819.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $2,041.74	Facility		$537.03	$707.95	$2,041.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,995.26	Professional		$524.81	$794.33	$1,995.26