Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,168.69 / $10,232.93	Facility		$1,905.46	$4,168.69	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,698.24	Professional		$1,047.13	$1,148.15	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $26,302.68	Facility		$5,011.87	$11,481.54	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,570.40	Professional		$1,148.15	$1,380.38	$2,570.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $8,912.51	Facility		$1,995.26	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $53,703.18	Facility		$2,454.71	$2,454.71	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $6,309.57 / $6,309.57	Professional		$1,412.54	$6,309.57	$6,309.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $4,466.84	Facility		$1,174.90	$1,949.84	$4,466.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,344.23	Professional		$1,288.25	$1,548.82	$2,344.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $2,754.23	Professional		$891.25	$1,513.56	$2,754.23
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 $2,754.23 / $12,882.50 / $37,153.52	Facility		$2,754.23	$12,882.50	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,511.89	Professional		$891.25	$1,174.90	$2,511.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,513.56	Facility		$891.25	$1,000.00	$1,513.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,754.23	Professional		$891.25	$1,122.02	$2,754.23