Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,265.80 / $10,000.00	Facility		$1,348.96	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $3,548.13	Professional		$977.24	$1,258.93	$3,548.13
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 $891.25 / $1,148.15 / $2,630.27	Professional		$891.25	$1,148.15	$2,630.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $8,912.51	Facility		$1,513.56	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $50,118.72	Facility		$1,819.70	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,445.44 / $3,801.89	Professional		$812.83	$1,445.44	$3,801.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $3,715.35	Facility		$1,023.29	$1,230.27	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,238.72	Professional		$1,148.15	$1,348.96	$2,238.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $1,995.26	Professional		$870.96	$1,288.25	$1,995.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $50,118.72 / $75,857.76	Facility		$1,096.48	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,288.25 / $1,698.24	Professional		$398.11	$1,288.25	$1,698.24
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 $776.25 / $1,174.90 / $2,630.27	Professional		$776.25	$1,174.90	$2,630.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,288.25 / $4,168.69	Facility		$870.96	$1,288.25	$4,168.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,445.44 / $3,801.89	Professional		$870.96	$1,445.44	$3,801.89