Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,265.80 / $10,000.00	Facility		$812.83	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,698.24	Professional		$501.19	$645.65	$1,698.24
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 $426.58 / $537.03 / $1,380.38	Professional		$426.58	$537.03	$1,380.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,995.26 / $8,912.51	Facility		$758.58	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,862.09 / $50,118.72	Facility		$891.25	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $933.25 / $2,398.83	Professional		$426.58	$933.25	$2,398.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $575.44 / $1,288.25	Facility		$288.40	$575.44	$1,288.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,000.00	Professional		$524.81	$691.83	$1,000.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,148.15	Professional		$446.68	$676.08	$1,148.15
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 / $691.83 / $1,122.02	Professional		$398.11	$691.83	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,549.93	Facility		$2,137.96	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,548.82	Professional		$416.87	$602.56	$1,548.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $588.84 / $1,659.59	Facility		$436.52	$588.84	$1,659.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,698.24	Professional		$436.52	$645.65	$1,698.24