Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,073.80 / $10,964.78	Facility		$645.65	$4,073.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $1,258.93	Professional		$398.11	$524.81	$1,258.93
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 $380.19 / $478.63 / $1,122.02	Professional		$380.19	$478.63	$1,122.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,995.26 / $8,912.51	Facility		$660.69	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $50,118.72	Facility		$812.83	$812.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,995.26	Professional		$467.74	$691.83	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $575.44 / $1,778.28	Facility		$436.52	$575.44	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,071.52	Professional		$537.03	$741.31	$1,071.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,023.29	Professional		$407.38	$616.60	$1,023.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $50,118.72 / $75,857.76	Facility		$602.56	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $1,318.26	Professional		$398.11	$630.96	$1,318.26
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 $398.11 / $575.44 / $1,412.54	Professional		$398.11	$575.44	$1,412.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $1,949.84	Facility		$389.05	$575.44	$1,949.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,288.25	Professional		$389.05	$575.44	$1,288.25