Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,888.44 / $12,022.64	Facility		$2,238.72	$5,888.44	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $7,943.28	Professional		$691.83	$977.24	$7,943.28
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 $1,380.38 / $1,698.24 / $2,630.27	Professional		$1,380.38	$1,698.24	$2,630.27
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 $1,348.96 / $1,348.96 / $50,118.72	Facility		$1,348.96	$1,348.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
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 $741.31 / $1,023.29 / $1,548.82	Professional		$741.31	$1,023.29	$1,548.82
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 $2,454.71 / $6,456.54 / $16,982.44	Facility		$2,454.71	$6,456.54	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,949.84	Professional		$575.44	$870.96	$1,949.84
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