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 $138.04 / $190.55 / $239.88	Professional		$138.04	$190.55	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $371.54	Professional		$158.49	$194.98	$371.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $53,703.18	Facility		$371.54	$371.54	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,412.54	Professional		$977.24	$977.24	$1,412.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $213.80 / $512.86	Facility		$134.90	$213.80	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $3,090.30	Professional		$1,778.28	$2,187.76	$3,090.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $478.63	Professional		$177.83	$251.19	$478.63
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 $1,862.09 / $3,890.45 / $8,317.64	Facility		$1,862.09	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $218.78 / $977.24	Professional		$102.33	$218.78	$977.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $436.52	Professional		$181.97	$223.87	$436.52