Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,248.07 / $10,964.78	Facility		$2,238.72	$5,248.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $2,511.89	Professional		$501.19	$812.83	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $13,803.84	Facility		$3,890.45	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $954.99	Professional		$588.84	$691.83	$954.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $6,165.95	Facility		$630.96	$630.96	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $50,118.72	Facility		$1,479.11	$1,479.11	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $4,073.80 / $4,073.80	Professional		$1,122.02	$4,073.80	$4,073.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $3,090.30	Facility		$851.14	$1,202.26	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,071.52 / $1,737.80	Professional		$446.68	$1,071.52	$1,737.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $2,187.76	Professional		$794.33	$1,318.26	$2,187.76
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 / $4,897.79 / $12,589.25	Facility		$2,137.96	$4,897.79	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,905.46	Professional		$512.86	$812.83	$1,905.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $870.96 / $1,148.15	Facility		$776.25	$870.96	$1,148.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $2,238.72	Professional		$776.25	$1,202.26	$2,238.72