Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,248.07 / $11,748.98	Facility		$1,348.96	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $2,754.23	Professional		$912.01	$1,148.15	$2,754.23
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 $851.14 / $1,071.52 / $2,570.40	Professional		$851.14	$1,071.52	$2,570.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $12,302.69	Facility		$1,445.44	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $50,118.72	Facility		$1,698.24	$1,698.24	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $4,168.69	Professional		$977.24	$1,513.56	$4,168.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $3,548.13	Facility		$1,071.52	$1,445.44	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,089.30	Professional		$1,047.13	$1,479.11	$2,089.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,137.96	Professional		$870.96	$1,318.26	$2,137.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $50,118.72 / $75,857.76	Facility		$1,047.13	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,348.96 / $2,691.53	Professional		$398.11	$1,348.96	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $3,019.95	Professional		$870.96	$1,202.26	$3,019.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,202.26 / $4,570.88	Facility		$831.76	$1,202.26	$4,570.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $3,090.30	Professional		$831.76	$1,258.93	$3,090.30