Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.57 / $5,845.00 / $11,996.00	Facility		$706.57	$5,845.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $742.59 / $985.46	Professional		$491.63	$742.59	$985.46
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 $910.02 / $1,371.92 / $2,013.08	Professional		$910.02	$1,371.92	$2,013.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,074.08 / $1,074.08 / $37,499.62	Facility		$1,074.08	$1,074.08	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,074.08 / $1,074.08 / $1,074.08	Professional		$1,074.08	$1,074.08	$1,074.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.24 / $902.24 / $7,227.90	Facility		$902.24	$902.24	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.38 / $1,200.98 / $2,801.49	Professional		$623.38	$1,200.98	$2,801.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $906.21 / $2,304.94	Facility		$332.00	$906.21	$2,304.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $921.98 / $1,193.31 / $1,785.84	Professional		$921.98	$1,193.31	$1,785.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $822.97 / $822.97 / $822.97	Facility		$822.97	$822.97	$822.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.60 / $1,028.71 / $1,596.56	Professional		$594.60	$1,028.71	$1,596.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $902.24 / $49,110.00	Facility		$597.00	$902.24	$49,110.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $440.85 / $917.94 / $2,785.12	Professional		$440.85	$917.94	$2,785.12
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 / $988.39 / $2,095.79	Professional		$647.64	$988.39	$2,095.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $822.97 / $1,028.71 / $1,028.71	Facility		$822.97	$1,028.71	$1,028.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.16 / $1,153.74 / $2,174.53	Professional		$724.16	$1,153.74	$2,174.53