Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.72 / $5,118.03 / $12,051.00	Facility		$111.72	$5,118.03	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $437.74 / $2,861.82	Professional		$77.70	$437.74	$2,861.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,130.00 / $12,274.00	Facility		$4,100.00	$7,130.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.82 / $2,010.15 / $4,249.89	Professional		$142.82	$2,010.15	$4,249.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $118.80 / $1,356.00 / $10,957.50	Facility		$118.80	$1,356.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $118.80 / $2,794.43	Professional		$118.80	$118.80	$2,794.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $148.97 / $148.97	Facility		$148.97	$148.97	$148.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $1,296.88 / $5,363.52	Professional		$86.97	$1,296.88	$5,363.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $96.40 / $147.00 / $332.00	Facility		$96.40	$147.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,240.67 / $3,037.35 / $4,525.54	Professional		$2,240.67	$3,037.35	$4,525.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.50 / $151.50 / $151.50	Facility		$151.50	$151.50	$151.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,430.45 / $2,578.36 / $3,726.59	Professional		$1,430.45	$2,578.36	$3,726.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $148.97 / $74,999.25	Facility		$148.97	$148.97	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $2,368.21 / $5,189.76	Professional		$92.02	$2,368.21	$5,189.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,547.00 / $14,457.00	Facility		$2,264.00	$5,547.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,692.71 / $2,425.78 / $5,428.67	Professional		$1,692.71	$2,425.78	$5,428.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.26 / $107.26 / $461.11	Facility		$107.26	$107.26	$461.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $266.38 / $2,238.23 / $4,040.61	Professional		$266.38	$2,238.23	$4,040.61