Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,265.80 / $10,000.00	Facility		$933.25	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $2,089.30	Professional		$602.56	$776.25	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $26,302.68	Facility		$5,011.87	$11,481.54	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,698.24	Professional		$537.03	$676.08	$1,698.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,995.26 / $8,912.51	Facility		$933.25	$1,995.26	$8,912.51
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 $1,122.02 / $1,862.09 / $50,118.72	Facility		$1,122.02	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,096.48 / $3,019.95	Professional		$575.44	$1,096.48	$3,019.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $2,344.23	Facility		$724.44	$1,122.02	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,258.93	Professional		$645.65	$870.96	$1,258.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $1,659.59	Professional		$537.03	$912.01	$1,659.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $50,118.72 / $75,857.76	Facility		$724.44	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $870.96 / $1,445.44	Professional		$398.11	$870.96	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,912.51 / $40,738.03	Facility		$2,818.38	$8,912.51	$40,738.03
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,949.84	Professional		$478.63	$741.31	$1,949.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $2,187.76	Facility		$549.54	$891.25	$2,187.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $891.25 / $1,995.26	Professional		$537.03	$891.25	$1,995.26