Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $10,964.78	Facility		$1,122.02	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $2,089.30	Professional		$724.44	$912.01	$2,089.30
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 $707.95 / $891.25 / $2,089.30	Professional		$707.95	$891.25	$2,089.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $37,153.52	Facility		$1,148.15	$1,148.15	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,348.96 / $50,118.72	Facility		$34.67	$1,348.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $3,311.31	Professional		$794.33	$1,174.90	$3,311.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,818.38	Facility		$831.76	$1,122.02	$2,818.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,659.59	Professional		$831.76	$1,148.15	$1,659.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,659.59	Professional		$676.08	$1,047.13	$1,659.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $50,118.72 / $75,857.76	Facility		$831.76	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,023.29 / $1,659.59	Professional		$398.11	$1,023.29	$1,659.59
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 $660.69 / $933.25 / $2,290.87	Professional		$660.69	$933.25	$2,290.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $3,715.35	Facility		$645.65	$954.99	$3,715.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $2,398.83	Professional		$676.08	$1,000.00	$2,398.83