Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,981.07 / $10,964.78	Facility		$1,621.81	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $512.86 / $724.44	Professional		$223.87	$512.86	$724.44
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 $0.02 / $0.03 / $478.63	Professional		$0.02	$0.03	$478.63
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 $1,202.26 / $1,202.26 / $50,118.72	Facility		$1,202.26	$1,202.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,819.70	Professional		$691.83	$1,047.13	$1,819.70
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 $549.54 / $794.33 / $1,905.46	Professional		$549.54	$794.33	$1,905.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,584.89	Professional		$707.95	$707.95	$1,584.89