Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,370.32 / $12,022.64	Facility		$2,238.72	$5,370.32	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $3,890.45 / $6,606.93	Professional		$616.60	$3,890.45	$6,606.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,096.48	Professional		$467.74	$575.44	$1,096.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $28,183.83	Facility		$1,288.25	$1,288.25	$28,183.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $18,197.01 / $53,703.18	Facility		$7,762.47	$18,197.01	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46,773.51 / $46,773.51 / $46,773.51	Professional		$46,773.51	$46,773.51	$46,773.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $21,877.62 / $33,113.11	Facility		$14,791.08	$21,877.62	$33,113.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $15,488.17 / $23,988.33	Professional		$9,120.11	$15,488.17	$23,988.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $10,471.29 / $14,454.40	Professional		$489.78	$10,471.29	$14,454.40
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 $2,818.38 / $8,128.31 / $20,417.38	Facility		$2,818.38	$8,128.31	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,202.26 / $11,481.54	Professional		$524.81	$1,202.26	$11,481.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $6,760.83 / $6,760.83	Facility		$467.74	$6,760.83	$6,760.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $6,760.83 / $14,454.40	Professional		$489.78	$6,760.83	$14,454.40