Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,677.35 / $10,000.00	Facility		$1,348.96	$4,677.35	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,951.21	Professional		$831.76	$1,202.26	$2,951.21
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 $676.08 / $870.96 / $2,511.89	Professional		$676.08	$870.96	$2,511.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $8,912.51	Facility		$1,548.82	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $50,118.72	Facility		$1,737.80	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,584.89 / $4,466.84	Professional		$707.95	$1,584.89	$4,466.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,318.26 / $3,388.44	Facility		$812.83	$1,318.26	$3,388.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,187.76	Professional		$1,148.15	$1,513.56	$2,187.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $2,691.53	Professional		$794.33	$1,380.38	$2,691.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $50,118.72 / $75,857.76	Facility		$977.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,348.96 / $2,238.72	Professional		$398.11	$1,348.96	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $10,964.78	Facility		$2,137.96	$4,365.16	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,951.21	Professional		$812.83	$1,174.90	$2,951.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,754.23	Facility		$870.96	$1,148.15	$2,754.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,691.53	Professional		$794.33	$1,148.15	$2,691.53