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 $741.31 / $851.14 / $1,258.93	Professional		$741.31	$851.14	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,380.38	Professional		$616.60	$758.58	$1,380.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,073.80 / $12,302.69	Facility		$1,905.46	$4,073.80	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $53,703.18	Facility		$1,548.82	$1,548.82	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,202.26 / $3,162.28	Professional		$616.60	$1,202.26	$3,162.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,071.52 / $2,570.40	Facility		$602.56	$1,071.52	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,819.70 / $2,691.53	Professional		$251.19	$1,819.70	$2,691.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $977.24 / $1,659.59	Professional		$354.81	$977.24	$1,659.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $50,118.72 / $53,703.18	Facility		$446.68	$50,118.72	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $11,481.54	Facility		$2,344.23	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $977.24 / $2,041.74	Professional		$549.54	$977.24	$2,041.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $2,344.23	Facility		$691.83	$977.24	$2,344.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $977.24 / $2,290.87	Professional		$354.81	$977.24	$2,290.87