Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,981.07 / $9,332.54	Facility		$1,584.89	$3,981.07	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $851.14 / $1,258.93	Professional		$223.87	$851.14	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $537.03	Professional		$263.03	$331.13	$537.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37,153.52 / $37,153.52 / $37,153.52	Facility		$37,153.52	$37,153.52	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $50,118.72	Facility		$3,019.95	$3,019.95	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $3,235.94	Professional		$1,148.15	$1,995.26	$3,235.94
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 $1,479.11 / $4,168.69 / $9,332.54	Facility		$1,479.11	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $3,715.35	Professional		$912.01	$1,445.44	$3,715.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,691.53	Professional		$1,148.15	$1,148.15	$2,691.53