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 / $9,772.37	Facility		$1,621.81	$3,981.07	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $13,489.63	Professional		$501.19	$891.25	$13,489.63
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 $380.19 / $467.74 / $831.76	Professional		$380.19	$467.74	$831.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $37,153.52	Facility		$660.69	$660.69	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $50,118.72	Facility		$1,023.29	$1,023.29	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $851.14 / $1,479.11	Facility		$707.95	$851.14	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $831.76 / $1,862.09	Professional		$288.40	$831.76	$1,862.09
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 $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,698.24	Professional		$426.58	$660.69	$1,698.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $831.76 / $831.76	Facility		$269.15	$831.76	$831.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $831.76 / $1,737.80	Professional		$316.23	$831.76	$1,737.80