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 $346.74 / $478.63 / $691.83	Professional		$346.74	$478.63	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,803.84	Facility		$3,981.07	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $630.96	Professional		$338.84	$416.87	$630.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $12,302.69	Facility		$776.25	$776.25	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $50,118.72	Facility		$660.69	$660.69	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $2,089.30 / $2,089.30	Professional		$281.84	$2,089.30	$2,089.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $416.87 / $933.25	Facility		$245.47	$416.87	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $588.84	Professional		$269.15	$363.08	$588.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $467.74	Professional		$213.80	$302.00	$467.74
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 $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $676.08 / $1,698.24	Professional		$331.13	$676.08	$1,698.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $467.74	Professional		$213.80	$213.80	$467.74