Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.03 / $5,845.00 / $11,996.00	Facility		$682.03	$5,845.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $682.03 / $873.75	Professional		$491.63	$682.03	$873.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.80 / $1,371.92 / $2,013.08	Professional		$806.80	$1,371.92	$2,013.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $952.34 / $952.34 / $37,499.62	Facility		$952.34	$952.34	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $952.34 / $952.34 / $952.34	Professional		$952.34	$952.34	$952.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.30 / $843.30 / $7,227.90	Facility		$843.30	$843.30	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.47 / $1,101.20 / $2,481.10	Professional		$552.47	$1,101.20	$2,481.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,200.00 / $2,304.94	Facility		$332.00	$1,200.00	$2,304.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $921.98 / $1,204.54 / $1,802.66	Professional		$921.98	$1,204.54	$1,802.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.72 / $830.72 / $830.72	Facility		$830.72	$830.72	$830.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.82 / $955.33 / $1,611.60	Professional		$662.82	$955.33	$1,611.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $843.30 / $49,110.00	Facility		$597.00	$843.30	$49,110.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $361.66 / $830.33 / $2,468.54	Professional		$361.66	$830.33	$2,468.54
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $647.64 / $945.60 / $2,092.03	Professional		$647.64	$945.60	$2,092.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $830.72 / $1,038.40 / $1,038.40	Facility		$830.72	$1,038.40	$1,038.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.16 / $1,164.60 / $2,195.01	Professional		$724.16	$1,164.60	$2,195.01