Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,623.41 / $12,882.50	Facility		$1,000.00	$5,623.41	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,698.24	Professional		$602.56	$741.31	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,317.64 / $16,595.87	Facility		$4,466.84	$8,317.64	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $1,258.93	Professional		$489.78	$575.44	$1,258.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $12,302.69	Facility		$933.25	$933.25	$12,302.69
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 $34.67 / $1,122.02 / $12,302.69	Facility		$34.67	$1,122.02	$12,302.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $2,344.23	Professional		$562.34	$954.99	$2,344.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $2,511.89	Facility		$691.83	$1,023.29	$2,511.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,479.11	Professional		$724.44	$933.25	$1,479.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $1,380.38	Professional		$512.86	$870.96	$1,380.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $50,118.72 / $75,857.76	Facility		$630.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $870.96 / $1,548.82	Professional		$398.11	$870.96	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $16,595.87	Facility		$2,398.83	$6,456.54	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,659.59	Professional		$512.86	$724.44	$1,659.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $776.25 / $2,511.89	Facility		$537.03	$776.25	$2,511.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,621.81	Professional		$537.03	$776.25	$1,621.81