Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,162.28 / $10,964.78	Facility		$1,096.48	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $2,398.83	Professional		$812.83	$1,023.29	$2,398.83
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 $741.31 / $933.25 / $2,290.87	Professional		$741.31	$933.25	$2,290.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $12,302.69	Facility		$1,258.93	$1,258.93	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,513.56 / $50,118.72	Facility		$34.67	$1,513.56	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $3,801.89	Professional		$891.25	$1,380.38	$3,801.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $3,162.28	Facility		$933.25	$1,288.25	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,862.09	Professional		$933.25	$1,288.25	$1,862.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $1,905.46	Professional		$724.44	$1,174.90	$1,905.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $50,118.72 / $75,857.76	Facility		$891.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,202.26 / $1,995.26	Professional		$398.11	$1,202.26	$1,995.26
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 $776.25 / $1,096.48 / $2,754.23	Professional		$776.25	$1,096.48	$2,754.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $3,981.07	Facility		$724.44	$1,071.52	$3,981.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,630.27	Professional		$724.44	$1,096.48	$2,630.27