Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,128.61 / $12,589.25	Facility		$1,288.25	$5,128.61	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $2,630.27	Professional		$870.96	$1,202.26	$2,630.27
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 $977.24 / $1,230.27 / $2,884.03	Professional		$977.24	$1,230.27	$2,884.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,467.37 / $13,489.63	Facility		$1,348.96	$3,467.37	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,778.28	Professional		$1,348.96	$1,348.96	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $50,118.72	Facility		$1,584.89	$1,584.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $4,265.80	Professional		$954.99	$1,621.81	$4,265.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,288.25 / $3,311.31	Facility		$954.99	$1,288.25	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,951.21	Professional		$1,479.11	$2,041.74	$2,951.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $2,570.40	Professional		$954.99	$1,584.89	$2,570.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $50,118.72 / $75,857.76	Facility		$933.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,584.89 / $3,235.94	Professional		$398.11	$1,584.89	$3,235.94
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 $831.76 / $1,288.25 / $3,162.28	Professional		$831.76	$1,288.25	$3,162.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $4,073.80	Facility		$776.25	$1,122.02	$4,073.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $3,235.94	Professional		$1,000.00	$1,513.56	$3,235.94