Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $12,022.64	Facility		$2,398.83	$5,888.44	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,412.54	Professional		$954.99	$1,318.26	$1,412.54
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 $1,122.02 / $1,412.54 / $2,137.96	Professional		$1,122.02	$1,412.54	$2,137.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $16,595.87	Facility		$5,495.41	$5,495.41	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $50,118.72	Facility		$1,949.84	$1,949.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $5,888.44 / $5,888.44	Professional		$776.25	$5,888.44	$5,888.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,122.02 / $2,570.40	Facility		$676.08	$1,122.02	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $954.99 / $1,479.11	Professional		$416.87	$954.99	$1,479.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,479.11	Professional		$562.34	$851.14	$1,479.11
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 $2,344.23 / $5,128.61 / $12,882.50	Facility		$2,344.23	$5,128.61	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $2,089.30	Professional		$588.84	$933.25	$2,089.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $1,318.26	Professional		$575.44	$602.56	$1,318.26