Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,168.69 / $10,964.78	Facility		$1,258.93	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,691.53	Professional		$891.25	$1,071.52	$2,691.53
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 $724.44 / $912.01 / $2,344.23	Professional		$724.44	$912.01	$2,344.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $10,964.78	Facility		$1,445.44	$1,445.44	$10,964.78
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 $34.67 / $1,659.59 / $50,118.72	Facility		$34.67	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $4,168.69	Professional		$954.99	$1,445.44	$4,168.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $3,548.13	Facility		$977.24	$1,288.25	$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 $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $2,137.96	Professional		$794.33	$1,318.26	$2,137.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $50,118.72 / $75,857.76	Facility		$977.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,258.93 / $2,089.30	Professional		$398.11	$1,258.93	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $10,964.78	Facility		$2,041.74	$4,365.16	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,951.21	Professional		$812.83	$1,148.15	$2,951.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,230.27 / $4,265.80	Facility		$831.76	$1,230.27	$4,265.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,818.38	Professional		$831.76	$1,258.93	$2,818.38