Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,000.00 / $1,445.44	Facility		$457.09	$1,000.00	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,000.00	Professional		$478.63	$660.69	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,570.40	Facility		$1,288.25	$1,288.25	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $2,137.96	Professional		$707.95	$707.95	$2,137.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,047.13 / $1,047.13	Facility		$977.24	$1,047.13	$1,047.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,995.26 / $50,118.72	Facility		$891.25	$1,995.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,258.93	Professional		$660.69	$660.69	$1,258.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $4,897.79	Facility		$1,288.25	$2,089.30	$4,897.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $2,454.71	Professional		$794.33	$1,348.96	$2,454.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $933.25	Facility		$891.25	$891.25	$933.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $794.33 / $891.25	Professional		$758.58	$794.33	$891.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $50,118.72 / $75,857.76	Facility		$1,905.46	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,230.27	Professional		$831.76	$1,230.27	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $870.96 / $1,513.56	Facility		$457.09	$870.96	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $676.08 / $1,047.13	Professional		$416.87	$676.08	$1,047.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $776.25 / $933.25	Facility		$758.58	$776.25	$933.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $794.33 / $891.25	Professional		$758.58	$794.33	$891.25