Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,370.32 / $10,964.78	Facility		$2,238.72	$5,370.32	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $3,162.28	Professional		$1,318.26	$1,949.84	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $288.40	Professional		$117.49	$147.91	$288.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $12,302.69	Facility		$4,073.80	$4,073.80	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $53,703.18	Facility		$2,398.83	$2,398.83	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $691.83	Facility		$398.11	$398.11	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,445.44	Professional		$562.34	$724.44	$1,445.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $3,890.45	Professional		$1,412.54	$1,659.59	$3,890.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,549.93	Facility		$2,137.96	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $5,128.61	Professional		$1,737.80	$2,630.27	$5,128.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $3,890.45	Professional		$1,412.54	$1,479.11	$3,890.45